Shulutko M L
Probl Tuberk. 2001(2):25-7.
The author's experience accumulated over 40 years shows that two major forms of surgical pulmonary tuberculosis (restrictive and disseminated) should be distinguished. The treatment of the former patients is highly effective and safe. To treat patients with progressive disseminated tuberculosis, especially in those who isolate Mycobacteria resistant to previously used drugs is difficult and expensive, which requires non only new generation antituberculous drugs, but comprehensive complex preparation for surgery. The author prefers collapse surgical interventions, but, if necessary, resorts even to pulmonectomy and application of an artificial pneumothorax contralaterally. Lobectomy is a major type of resection of the lung. Thus, surgery as a constituent of ensures recovery (stabilization of the process) in the most critically ill patients with pulmonary tuberculosis.
作者40多年积累的经验表明，外科肺结核有两种主要形式（局限性和播散性）应加以区分。前一种患者的治疗高效且安全。治疗进行性播散性肺结核患者，尤其是那些分离出对先前使用药物耐药的分枝杆菌的患者既困难又昂贵，这不仅需要新一代抗结核药物，还需要进行全面的复杂手术准备。作者更倾向于萎陷性外科干预，但如有必要，甚至会采用肺切除术并在对侧应用人工气胸。肺叶切除术是肺切除的主要类型。因此，手术作为治疗的一部分可确保最重症肺结核患者康复（病情稳定）。
