难治性肺结核的外科治疗

Surgical treatment on drug-resistant pulmonary tuberculosis retreatment cases

目的 探讨外科治疗难治性肺结核的效果及方法。方法 对 1996～ 1998年收治的 96例进行手术治疗的难治性肺结核病人进行回顾分析。结果 在应用氟嗪酸方案治疗有效的同时行外科治疗 ,93.8%术后痰菌持续阴转 ,且随访两年无复发 ;5 .2 %术后继续化疗痰菌阴转 ;1.0 %痰菌持续阳性。结论 应用氟嗪酸方案化疗的同时手术切除病灶 。

Objective To study its effect and method of the surgical treatment on drug-resistant pulmonary-tuberculosis retreatment cases(DRPTRC).Methods 96 cases surgical treated were analysed.Results For those cases who were effective to the ofloxacin (OFLX) regimen and received surgical treatment at the same time,93.8% of them were sputum persistent negative conversed and had no relapse in the two follow-up years.5.2% of them were sputum negative conversed during their treatment after surgery.And 1.0% of them were sputum persistent positive.Conclusion It is an effective cure method for DRPTRC that they were chemically treated with OFLX regimen and were surgically removed their focus at the same time.