耐多药肺结核手术治疗时机选择的初步探讨
姜友定;曾定科;谭守勇;徐宁;高健齐;陈穗;江涛;黄盛晶;张茂;蔡晓婷
【期刊名称】《中国防痨杂志》 【年(卷),期】2017(039)007
【摘要】Objective To investigate the chance of operating treatment for multidrug-resistant pulmonary tuberculosis.Methods Clinical data and follow-up results of a total of 39 patients with multidrug-resistant pulmonary tuberculosis in Guangzhou Chest Hospital from January 2009 to March 2016 were retrospectively analyzed.They underwent preoperative chemotherapy for 2-24 months.Nineteen patients underwent 0-8 months preoperative chemotherapy (the strengthening chemotherapy
time-point),9
patients
underwent
8-12
months
preoperative chemotherapy (medium examination time-point),and 11 patients underwent 12-24 months preoperative chemotherapy (total course
time-point).Multidrug-resistant
and
extensively-resistant
patients were 21 and 18 cases,respectively.The pulmonary lesion was less than 1 lobe in 17 patients,and was more than 1 lobe in 22 cases.The surgical cure rate,complication rate,cure rate of different time,cure rate of patients with different drug-resistance and the cure rate of different foci were analyzed.Results In 39 cases,both the surgical cure rate and success rate were 89.7％ (35/39),the failure rate was 10.3％ (4/39),postoperative complication rate was 20.5％ (8/39),including
耐多药肺结核手术治疗时机选择的初步探讨
