[20例肺非结核性分枝杆菌病耐化疗的手术治疗]。

Kekkaku : [Tuberculosis] Pub Date : 2016-09-01
Katsuo Yamada, Yuta Kawasumi, Ayuko Yasuda, Yukio Seki, Kenji Ogawa
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引用次数: 0

摘要

对象和方法:我们报告5例20多岁肺部非结核性分枝杆菌- teriosis (NTM)耐化疗的手术治疗。在这五个人中,有一个是男性,四个是女性。他们的肺有空洞或结节性病变。化疗后行部分切除或肺叶切除术。结果:术后化疗虽仅持续6个月或1年,但术后平均超过86个月无复发。考虑。在年轻患者中,NTM在肺部的病变有时比老年患者更局限,因此可以通过手术切除较小的部分,我们有时可以保留患者更多的肺功能。结论:对20例耐化疗的肺非结核性分枝杆菌病患者,手术治疗应在早期积极进行,切除更小的肺部分,减少术后复发。
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[SURGICAL TREATMENT FOR TWENTIES PATIENTS WITH PULMONARY NONTUBERCULOUS MYCOBACTERIOSIS RESISTING CHEMOTHERAPY].

Subjects and methods: We report five cases of surgical treatment for pulmonary nontuberculous mycobac- teriosis (NTM) resisting chemotherapy in twenties. Of the five, one was male and four were female. They had cavitary or nodular lesion in their lung. After chemotherapy, partial resection or lobectomy was performed.

Result: Though postoperative chemotherapy had contin- ued for only 6 months or 1 year, there was no relapse/recurrence at more than 86 months in average after surgery. Consideration. In younger patients, NTM lesions in the lung are sometimes more localized than senior patients, therefore they can be removed as a smaller portion by the operation, and we can sometimes keep more pulmonary function of the patient.

Conclusion: Surgical treatment for twenties patients with pulmonary nontuberculous mycobacteriosis resisting chemo- therapy should be carried out aggressively at an early stage to resect a smaller portion of the lung and also decrease relapse/ recurrence after surgery.

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