Surgical Management of Non-Tuberculous Mycobacteriosis and Tuberculosis of the Lung.

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  • 最近の非定型抗酸菌症と肺結核に対する肺切除症例
  • サイキン ノ ヒテイケイ コウサンキンショウ ト ハイケッカク ニ タイスル ハイ セツジョ ショウレイ

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From 1990 to 1999, three patients with non-tuberculous mycobacteriosis and 14 patientsof tuberculosis underwent pulmonary resection in the National Sanatorium Ehime Hospital.<BR>Of the patients with tuberculosis, two were multiple drug-resistant cases and twelvecases were suspected of lung cancer before diagnostic resection. All three patients withnon-tuberculous mycobacteriosis were symptomatic, had chest cavities in the lung, andwere sputum-culture positive.<BR>There were no operative death in all patients, and one case of post-operative complication.<BR>Two patients, one with non-tuberculous mycobacteriosis and another with tuberculosis, failed in sputum negative conversion. The former had been treated for a long timepreoperatively.<BR>Early resection in patients of pulmonary non-tuberculous mycobacteriosis and of pulmonarymultiple drug-resistant tuberculosis is recommended to prevent further progressionof pulmonary lesions.

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