[耐多药肺结核患者外科治疗效果与疾病进程的关系]
[Efficiency of surgical treatment in patients with drug-resistant pulmonary tuberculosis in relation to the course of a disease].
作者信息
Garifullin Z R, Aminev Kh K
出版信息
Tuberk Biolezni Legkih. 2009(7):41-6.
The immediate results of surgical treatment were analyzed in 225 patients with polyresistant and multidrug-resistant pulmonary tuberculosis; the process was first detected in 95 patients of them; 34 patients had recurrent tuberculosis; chronic tuberculosis was found in 93 patients. The highest clinical efficiency of surgical treatment and the least frequency of postoperative complications were determined in new cases of tuberculosis (94.9 and 20.8%, respectively). In recurrent tuberculosis, clinical efficiency was achieved in 94.1% with the frequency of complications being 29.4% and when tuberculosis was chronic, it was 93.6% with the frequency of complications being 32.2%. The optimum time of surgical interventions was defined in patients with various courses of the disease.
对225例耐多药和广泛耐药肺结核患者手术治疗的近期结果进行了分析；其中95例患者为首次发现该疾病；34例患者有复发性结核病；93例患者为慢性结核病。在结核病新发病例中，手术治疗的临床有效率最高，术后并发症发生率最低（分别为94.9%和20.8%）。在复发性结核病中，临床有效率为94.1%，并发症发生率为29.4%；而在慢性结核病中，临床有效率为93.6%，并发症发生率为32.2%。确定了不同病程患者手术干预的最佳时机。
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