摘要
结核病的外科治疗已有百年历史,外科切除肺结核病灶后,痰结核分枝杆菌转阴率明显提高。当前,全球耐多药结核病的治愈率在50%左右,外科的干预可使耐多药结核病的治愈率提高到80oZ以上,外科干预可以适时有效地阻断肺结核的传播途径。精确选择手术对象进行外科干预,可以提高外科在控制肺结核传染性方面的地位,但应注意与化疗紧密结合,同时注意术后并发症的预防。
The surgical treatment of tuberculosis has a history about one hundred years. Sputum negative conversion rate of pulmonary tuberculosis after surgical resection is significantly improved. Literature shows that the current global multidrug-resistant tuberculosis cure rate is about 50%, surgical intervention can increase the cure rate of multidrug-resistant tuberculosis to 80% or more, and it can timely and effectively block the transmission of pulmonary tuberculosis. Overall, accurate selection of surgical objects for surgical intervention, can improve the status of surgery in tuberculosis infection source control. However, we should pay attention to close integration with chemotherapy and the prevention of postoperative complications.
作者
宋言峥
SONG Yan-zheng.(Department of Surgery, Shanghai Public Health Clinical Center, Shanghai 201508, China)
出处
《中国防痨杂志》
CAS
2017年第1期6-10,共5页
Chinese Journal of Antituberculosis
关键词
结核
肺
结核
抗多种药物性
外科手术
药物疗法
联合
干预性研究
Tuberculosis, pulmonary
Tuberculosis, multidrug-resistant
Surgical procedures, operative
Drug therapy, combination
Intervention studies