肺結核に対する外科療法の現状

概要

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This study was made to clearify the present status of surgical treatment for pulmonary tuberculosis including the frequency of applied surgical procedures and the result of surgical treatment in Japan in the recent years. The material consisted of 5, 508 cases who had undergone the operation in 1963 and 1964 at 46 institutions belonging to the Tuberculosis Research Committee (Ryoken) and had been observed for the period of at least 9 months postoperatively. In this study, the cases with negative sputum who had already returned to work during the follow-up period were difined as successful cases. The mortality rate was calculated for cases, whose death related to operation and/or tuberculosis worsening. The death was divided into the following 3 groups: 1. the operative death (within 48 hours after operation), 2. the early death (within 2 months after operation), 3. the late death (later than 2 months after operation).<BR>Observing the preoperative background factors of total cases, 42.2% had normal p ulmonary function, 24.1% had restrictive impairment, 12.3% had obstructive impairment and 22.2% had mixed type impairment in the ventilatory function (Tab.2). Bacilli negative cases immidiately before operation were found in 55.7% and positive cases in 43.1%; among the latter, 32.3%were resistant to SM and / or INH (Tab.3).
日本結核病学会の論文