CAJ | 학술논문

探讨外科手术治疗长期排菌肺结核病例的重要性、防疫意义、手术适应症及手术时机的选择。方法：对正规内科治疗一年以上仍旧排菌的63例肺结核空洞或结核性毁损肺患者，采用不同术式肺切除术切除不可逆病灶或附加胸廓成形术，并在手术后继续抗结核治疗一年。结果：59例患者痰菌阴转，阴转率达93．7％，4例出现术后并发症，无手术死亡。结论：肺外科手术是治疗长期排菌合并空洞及毁损肺患者最有效的方法。
탐토외과수술치료장기배균폐결핵병례적중요성、방역의의、수술괄응증급수술시궤적선택。방법：대정규내과치료일년이상잉구배균적63례폐결핵공동혹결핵성훼손폐환자，채용불동술식폐절제술절제불가역병조혹부가흉곽성형술，병재수술후계속항결핵치료일년。결과：59례환자담균음전，음전솔체93．7％，4례출현술후병발증，무수술사망。결론：폐외과수술시치료장기배균합병공동급훼손폐환자최유효적방법。
To discuss the indication and effect of surgical treatment for pulmonary tuberculosis with long-term mycobacterium tuberculosis positive sputum. Methods: Pulmonary lobectomy was performed in 63patients with tuberculous cavity or collapsed lung, and with mycobacterium tuberculosis positive sputum, who having accepted regular medical treatment over one year. Antituberculotic medication was taken for one year after the operation. Results: There were 59 patients of the total 63 cases (94.9%) whose sputum positive turned to negative after the operation. Postoperative complication occurred in 4 cases, and no postoperative death. Conclusion: Surgical operation might be a more effective treatment for pulmonary tuberculous with tuberculous cavity or collapsed lung, and with long-term mycobacterium tuberculosis positive sputum.