摘要
目的 :探讨经皮肺穿介入术在空洞性肺结核治疗中的地位、适应证及手术方法。方法 :对经内科治疗 6月以上仍排菌的 2 5例肺结核单发空洞行经皮肺穿介入术加全身抗痨治疗。结果 :6个月内 2 0例痰菌阴转 ,阴转率 80 % ,空洞闭合率 1 7例 ,占 68% ,另有 3例空洞有缩小。结论 :经皮肺穿介入术是继外科术 (采用不同术式切除不可逆灶或附加胸廓成型术 )后 。
Objective:To discuss the status ,indication and operation methods through skin-lungs centesis in the treatment of cavernous pulmonary tuberculosis . Methods: Through skin-lung centesis tuberculosis and the systemic anti-tuberculosis treatment in 25 cases with solitary cavernous tuberculosis of spitting bacteria even after internal medical treatment over 6 months . Results: Within 6 months , the sputum bacteria of 20 cases became negative , with a negative rate of 80%, the cavities of 17 cases were closed , covering 68% of the total, the cavities of another 3 cases shrank . Conclusion: The skin-lungs centesis was an effective method to avoid the failure of repeated treatment or the recurrence of cavernous tuberculosis after surgical operations ( by adopting different operative methods of removing irreversible focus or additional thoracoplasty).
出处
《陕西医学杂志》
CAS
北大核心
2004年第1期30-31,37,共3页
Shaanxi Medical Journal
