Eguchi Keisuke, Kikuchi Kohji, Nakayama Mitsuo
Department of General Thoracic Surgery, Saitama Medical Center, 1981 Kamoda, Kawagoe-shi, Saitama 350-8550, Japan.
Kekkaku. 2010 May;85(5):439-42.
We reviewed our institutional experience of surgical cases of tuberculosis in the last decade. There were 42 surgical cases, including 26 cases of tuberculoma, 5 cases of tuberculous lymphadenitis, 4 cases of tracheobronchial tuberculosis, and 7 cases of tuberculous empyema. The most aim of the surgery for tuberculoma and lymphadenitis were to make differential diagnosis from malignant neoplasm. Sleeve resection was done in 3 cases of tracheobronchial tuberculosis and Montgomery T-tube placement was underwent for a case of tracheal stenosis. Radical surgery was indicated for 4 cases of empyema and open window thoracostomy for 3 cases. There was no major complication and operation-related death. The surgical indication for tuberculosis is very limited nowadays because of effective chemotherapy, however, surgery is still relevant in selected small groups of tuberculosis patients. Exchanging more information and alliance among physicians and thoracic surgeons will become more important for better tuberculosis treatment.
我们回顾了过去十年间我院外科治疗结核病病例的经验。共有42例外科病例,包括26例结核瘤、5例结核性淋巴结炎、4例气管支气管结核和7例结核性脓胸。对结核瘤和淋巴结炎进行手术的最主要目的是与恶性肿瘤进行鉴别诊断。3例气管支气管结核患者接受了袖状切除术,1例气管狭窄患者置入了蒙哥马利T形管。4例脓胸患者接受了根治性手术,3例接受了开胸开窗术。无重大并发症及手术相关死亡病例。由于有效的化疗,目前结核病的手术指征非常有限,然而,手术在部分特定的结核病患者群体中仍具有重要意义。医生与胸外科医生之间更多地交流信息与合作,对于更好地治疗结核病将变得更加重要。