切除例における結核性肺空洞の統計的研究
スポンサーリンク
概要
- 論文の詳細を見る
1. Of 367 patients with pulmonary tuberculosis who underwent resection therapy during the period from 1952 through 1957 at National Chiba Sanatorium for Tuberculosis, 164 patients had tuberculous cavities. Morphopathologic observations made on the specimens of extirpated tuberculous lesions were correlated with roentgenographic findings of the chest in these patients. 2. Of the patients with tuberculous cavities, those whose lesions occupy about one half the area of a lobe (the whole lung field was divided by an imaginary line into two lobes of same size) accounted for 54 per cent and were the largest in number. Many of them only had one tuberculous lesion. 3. Of all the cavitiesjfound in the extirpated tuberculous lesions under study, those which are less than 2cm. in diameter accounted for the majority, and larger the cavities, the smaller was their number. In 82 per cent of the patients under study cavities were localized at the apex and the upper lung field. 4. The incidence of the cavities with hardened walls appeared to have little relation to the age of lesion and the size of cavity. 5. Examinations of tuberculous lesions found in resected specimens of the lung showed that obliteration of cavities (which does not necessarily mean cure) had occurred in 61.5 per cent of the patients under study. The smaller the cavities in size, the higher was their rate of obliteration. The cavities located deep in the middle of the lung showed high rate of obliteration. 6. The presence of the majority of the cavities under study was detected by roentgenographic examinations prior to surgical extirpation. The cavities located in the upper lung field may be detected by either routine roentgenography or by body section roentgenography consisting in pictures of the chest being taken in predetermined planes of 5,6,7 and 8 cm. deep in posteroanterior projection. 7. Exacerbation occurred in 27 patients before surgery was undertaken. In 2 of them it took place during the course of chemotherapy. Chemotherapy had better be continued in such instances, for it will cause an improvement to take place earlier than otherwise. In 4 of themexacerbation occurred during the period when chemotherapy was suspended. This indicates that chemotherapy should be continued as long as possible and should not be discontinued after it has once been begun.
- 千葉大学の論文
- 1959-01-28
著者
関連論文
- 28. 肺過誤腫の2例(第478回千葉医学会例会,第一外科教室談話会)
- 21.換気機能よりみた肺葉切除術(第392回千葉医学会例会,第一外科教室談話会)
- 22. 抗血清投与マウスの組織学的所見について(第457回千葉医学会例会 第一外科教室談話会)
- 24. 結核性空洞と化学療法(第31回千葉医学会,昭和29年度千葉県医師会医学会連合大会演説要旨)
- 切除例における結核性肺空洞の統計的研究