长期排菌肺结核的外科治疗

Surgical treatment in pulmonary tuberculosis with sputum long term Mycobacterium tuberculosis positive

目的探讨肺结核化疗时代外科治疗长期排菌病例的重要性。方法对６５例患者进行不同术式肺切除术和（或）胸廓改型术并进行抗结核治疗。结果６３例痰菌阴转；１例痰菌转阳，经再手术好转。１例术后因呼吸衰竭死亡；３例并发脓胸，经再手术好转。结论外科治疗是治疗长期排菌等难治性肺结核的重要方法。

Objective To evaluate the importance of surgical treatment in pulmonary tuberculosis with sputum long term Mycobacterium tuberculosis positive. Method Sixty five patients with pulmonary tuberculosis who failed antituberculosis chemotherapy received lung resection or thoracoplasty. Result Sputum negative conversion was found in sixty three patients without recurrence during 1～3 year follow up, while sputum positive conversion was found only in one case during the period of follow up. Among all the patients, one died of respiratory failure after the operation, three complicated with empyema and recovered from operating again. Conclusion Surgical operation is still important for treating pulmonary tuberculosis patients with sputum long term Mycobacterium tuberculosis positive.