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[肺结核空洞患者手术治疗的近期和远期结果]

[Immediate and late results of the surgical treatment of patients with post-tuberculosis cavities].

作者信息

Vorozhtsova M P

出版信息

Probl Tuberk. 1989(2):37-9.

PMID:2495527
Abstract

Examination of lung sections from patients with residual posttuberculous cavities not discharging tubercle bacilli for long periods revealed latent bacterial lesions of cavern wall tissues and active specific processes in 73.6 and 92.1 per cent of the cases respectively. Bacteriological investigation of the resected lungs revealed no significant advantages of the tuberculostatic therapy with using rifadin at various stages for 2-4-month courses in comparison to the therapy without rifadin. The immediate results of the surgical treatment were indicative of its high efficiency; closing of destructive cavities, low numbers of postoperative complications which could be easily corrected. At late observation periods the surgical treatment provided more reliable rehabilitation.

摘要

对长期不排结核菌的残留结核空洞患者的肺组织切片检查发现,分别有73.6%和92.1%的病例出现了空洞壁组织的潜在细菌病变和活跃的特异性病变。对切除肺组织的细菌学研究表明,与不使用利福定的治疗相比,在2 - 4个月疗程的不同阶段使用利福定进行抗结核治疗并无显著优势。手术治疗的近期结果表明其效率很高;破坏性空洞闭合,术后并发症数量少且易于纠正。在长期观察期,手术治疗提供了更可靠的康复效果。

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