Ibragimov M A, Kariev T M, Kadyrova R A
Probl Tuberk. 1990(4):42-4.
The efficacy of partial pneumonectomies in 700 patients with newly-diagnosed destructive tuberculosis preceded by an ineffective antibacterial therapy for 3-15 months was studied. Operations were performed in 411 (58.8%) patients with fibrocavernous tuberculosis, in 173 (24.7%) with cavernous tuberculosis, in 10 (1.4%) with disseminated tuberculosis and cavitation, and in 106 (15.1%) with tuberculoma. Segmental resections were carried out in 214 (30.6%) cases, lobectomies in 309 (44.1%), and combined resections in 177 (25.3%). Immediately good and satisfactory clinical efficacy was achieved in 687 (98.1%) and 7 (1.0%) subjects respectively, the remaining 6 (0.9%) patients died. 3-15 years after the operation, the reactivation of tuberculosis was observed in 14 (2.3%) cases out of the 603 examined. An intensive antibacterial therapy as well as repeated operations made it possible to cure 6 patients, with 5 still under treatment and 3 dead. Later on a stable clinical cure was registered in 595 (98.7%) patients out of the 603 examined.
研究了700例新诊断的破坏性肺结核患者在进行了3至15个月无效抗菌治疗后的部分肺切除术疗效。411例（58.8%）纤维空洞型肺结核患者、173例（24.7%）空洞型肺结核患者、10例（1.4%）播散性肺结核合并空洞患者以及106例（15.1%）结核瘤患者接受了手术。214例（30.6%）进行了肺段切除术，309例（44.1%）进行了肺叶切除术，177例（25.3%）进行了联合切除术。分别有687例（98.1%）和7例（1.0%）患者立即取得了良好和满意的临床疗效，其余6例（0.9%）患者死亡。术后3至15年，在603例接受检查的患者中，有14例（2.3%）出现了结核复发。强化抗菌治疗以及再次手术使6例患者治愈，5例仍在治疗中，3例死亡。后来，在603例接受检查的患者中，有595例（98.7%）实现了稳定的临床治愈。
