A clinical analysis on 388 patients with pulmonary tuberculosis treated by surgical resection

Abstract

Abstract: ObjectiveTo evaluate the efficacy and indication of surgical resection for pulmonary tuberculosis. MethodsFrom January 1999 to December 2007, 388 patients with pulmonary tuberculosis hospitalized in our hospital undergone surgical resection were enrolled. There were 116 cases with infiltrative pulmonary tuberculosis,85 cases with caseous pneumonia， 66 cases with chronic fibro-cavernous pulmonary tuberculosis,18 cases pulmonary tuberculosis complicated with aspergilloma,28 cases with tuberculous tracheobronchial stenosis,75 cases with tuberculous destroyed lungs. ResultsThe operative manners included: pneumonectomy in 95 cases,lobectomy in 217，tracheoplasty or bronchoplasty in 11 cases, and other manners in 65 cases. The total cure rate was 96% among 372 cases treated by operation. The rate of complication was 8.5% without dead case. ConclusionsChemotherapy is still main method to treat pulmonary tuberculosis，but the surgical operation is necessary for some patients with pulmonary tuberculosis to improve cure rate, especially for severe pulmonary tuberculosis and multidrug-resistant tuberculosis（MDR-TB）.

Key words: Tuberculosis,pulmonary/surgery

Bai Lianqi. A clinical analysis on 388 patients with pulmonary tuberculosis treated by surgical resection[J]. Chinese Journal of Antituberculosis, 2009, 31(8): 484-486.

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