Clinical application research of tuberculous cavity resection in cavitary tuberculosis / 中国医师进修杂志

ABSTRACT

ObjectiveTo study the clinical applications value of tuberculous cavity resection in cavitary tuberculosis.MethodsForty-three cases of patients with cavitary tuberculosis were selected and divided into 2 groups by mechanical sampling method,15 cases in group Ⅰ were given standard chemotherapy regimen,28 cases in group Ⅱ were given standard chemotherapy regimen combined with tuberculous cavity resection.ResultsAfter treatment,the proportion of haemoptysis ending in group Ⅱ was85.7％(24/28),the proportion of negative sputum bacteria was 96.4％(27/28),and the proportion of antfebrile was 92.9％(26/28),which were higher than those in group Ⅰ [13.3％(2/15),33.3％(5/15),26.7％(4/15)].There were significant differences between two groups(P＜ 0.01 ).But after treatment,the time needed for improving symptoms in group Ⅰ [( 10.2 ± 1.1 ),(8.3 ± 1.2 ),(9.1 ± 1.1 ) months]were significantly longer than those in group Ⅱ [(6.3 ± 1.2 ),(4.5 ± 1.3 ),( 5.3 ± 1.2) months],and there were significant differences between two groups (P＜0.05).Conclusion The tuberculous cavity resection in treatment for cavitary tuberculosis can significantly improve the curative effect,and shorten the period of treatment.