Coman C, Popescu L V, Stan A, Micu V, Ciulavu C, Iurea A
Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1979 Jan-Mar;28(1):25-37.
The post-tuberculous syndromes are more numerous and more severe following the present treatments with tuberculostatics, as compared with the past. Indications of the surgical treatment of these syndromes should be aimed at obtaining functional recovery, and they must be always adapted according to the patient's requirements. The results depend on the indications, on the technical performance, on the post-operative treatment (medical physical exercises, etc.). In the surgical treatment of the present post-tuberculous syndrome there is a supplementary risk, as compared with the surgical treatment of the evolutive tuberculosis. Prophylaxis of the post-tuberculous syndrome can be achieved by a correct medical treatment. If this is not successful the surgical treatment will be applied at the optimal time.
与过去相比,目前使用抗结核药治疗后,结核后综合征的数量更多且更严重。这些综合征外科治疗的适应证应旨在实现功能恢复,并且必须始终根据患者的需求进行调整。结果取决于适应证、技术操作以及术后治疗(医学体育锻炼等)。与进展期结核病的外科治疗相比,目前结核后综合征的外科治疗存在额外风险。通过正确的药物治疗可预防结核后综合征。如果药物治疗不成功,则将在最佳时机进行外科治疗。