耐药肺结核病的外科治疗（附40例报告）

４０例耐药肺结核病人，经肺切除或附加胸廓成形术治疗。病变以空洞和肺毁损为主。二药以上耐药率８７．５％，对ＲＦＰ的耐药率８０％。半数以上病人合并对侧肺病灶。手术并发率１５％，其中脓胸瘘管并发率７．５％。术后痰菌阴转率８７．５％，无手术死亡。出院随访３５例，３４例痰菌复查阴性，２０例恢复正常工作。

Surgical Treatment of Drug-Resistant Pulmonary Tuberculosis

Forty patients with drug-resistant pulmonary tuberculosis were treated surgically either by resection alone or with auxillary thracoplasty. Most of the lesions were cavities and destroyed lungs 87.5% of cases were resistant to more than two drugs and 80.0% were resistant to rifampicin. over half of the cases had also contralateral pulmonary tuberculous lesions. Surgical complication rate was 15.0%in which 7.5%were empyema or empyema with fistula formation. Post-operatively, sputum negative conversion rate was 87.5%. No surgical mortality occured. 35 cases were followed up after surgery, 34 with negative sputum and 20 regained normal work.