Vencevicius Vladas, Serpytis Jonas, Grazelis Emilis, Gineitis Arūnas, Venslovas Vaclovas, Rudys Donatas
Republican Santariskes Tuberculosis and Lung Diseases Hospital, Santariskiu 14, 2021 Vilnius, Lithuania.
Medicina (Kaunas). 2004;40 Suppl 1:142-4.
The article describes treatment results of 1228 patients operated on because of different forms of pulmonary tuberculosis. According to spreading of tuberculosis and developed complications in spite of the medicamental treatment the patients were divided in to two clinical groups. The first group included 417 patients with direct indications for surgery. The second group included 811 patients with complications of pulmonary tuberculosis (with spontaneous pneumothorax - 237, spontaneous pyopneumothorax - 170, tuberculous pleural empyema - 271, pulmonary hemorrhage - 105, with pulmonary reoperations - 28). The results of radical and paliative operations were as follows: 1176 (95.8%) patients recovered, and 52 patients (4.2%) died. CONCLUSION. When therapical treatment of pulmonary tuberculosis is ineffective, especially in drug resistant cases, the surgical treatment is indicated.
本文描述了1228例因不同类型肺结核接受手术治疗患者的治疗结果。根据结核病的传播情况以及尽管进行了药物治疗仍出现的并发症，将患者分为两个临床组。第一组包括417例有直接手术指征的患者。第二组包括811例肺结核并发症患者（其中自发性气胸237例、自发性脓气胸170例、结核性胸膜脓胸271例、肺出血105例、再次肺手术28例）。根治性手术和姑息性手术的结果如下：1176例（95.8%）患者康复，52例（4.2%）患者死亡。结论：当肺结核的治疗无效时，尤其是耐药病例，应进行手术治疗。
