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柳英善,馬重成,崔秉宇 中央醫學社 1974 中央醫學 Vol.26 No.2
Clinical observations were performed on 354 cases of pulmonary resection for tuberculosis, those were treated at the Department of Chest Surgery, National Medical Center from October 1958 to December 1963. 1. The ratio of male to female cases of operation was 2.4: 1 in male predomin ence & age from 21 to 40 occupied 75% of the total cases. 2: The extent of disease showed 154 far advanced, 192 moderate advanced and 8 minimal cases. 3. Duration of chemotherapy before surgery was more than 1 year in 92% only 8% was treated less than i year. 4. Different type of operations were performed in 354 cases, segmentectomy in 102, lobectomy in 73, pneumonectomy in 123, lobectomy with concomitant thoracoplasty in 22 and lobectomy & suplimental segmentectomy with thora-coplasty in 34 cases. 5. The postoperative complications occured in 54 cases (15.2%). Of these complications, empyema with or without bronchopleural fistula occured in 16 cases (4.5%). 6. Overall mortality was 2.2% (8 cases) and most common cause of death were due to empyema with BPF & shock. 7. In the follow up results according to type of operation, the cure rate was greatest in cases of lobectomy (93%) and lowest in cases of lobectomy segmentectomy with thoracoplasty (79%).