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病灶切开术是治疗腎結核保留器官的一种手术方法,近年来已被很多临床医师所重视,认为在一定的适应情况下病灶切开术是較部分腎切除更为簡便的治疗方法。近年来由于早期腎結核患者日多,药物治疗已成为治疗的主要趋势,但在一定的病理情况下,手术治疗仍是必要的。渗出型腎結核症是以药物治疗为主,而空洞型的病变,則須施行手术。至于选用何种手术,完全应根据病变的情况、发展趋势及患者的具体情况来决定。我院由1961年迄今,对10例腎結核患者采用了病灶切开的治疗方法,今簡单地介紹有关手术一些問题的初步体会。一、手术的操作方法(图一) 到目前为止,有关手术的操作方法,仍不统一。根据我們的經驗,我們目前采用的方法,效果是比較滿意的。术前准备不但有助于手术安全,减少併发症,也是选择手术的一种方法。一般准备期2—3月,每周注射鏈霉素两次,每次一克,每日服异菸肼三次,每次100毫克。术前一周链霉素改为每日一克而异菸肼之量同前。
Lesions incision is a surgical method for the treatment of organs retained by renal tuberculosis. In recent years, it has been taken seriously by many clinicians that lesion incision is a more convenient treatment than partial nephrectomy under certain conditions. In recent years, as more patients with early renal tuberculosis, drug treatment has become the main trend of treatment, but in certain pathological conditions, surgical treatment is still necessary. Exudative renal tuberculosis is drug-based, while the cavity-type lesions, you must perform surgery. As for the choice of what kind of surgery, completely according to the lesion, the development trend and the specific circumstances of the patient to decide. Our hospital from 1961 so far, 10 cases of renal tuberculosis patients with focal incision treatment, and now simply introduce some of the preliminary experience of surgery. First, the operation of surgery (Figure 1) So far, the operation of the operation method is still not uniform. According to our experience, we are currently using the method, the effect is more satisfactory. Preoperative preparation not only contribute to the safety of surgery, reduce complications, but also a method of surgery. General preparation period from February to March, streptomycin injections twice a week, each one gram, daily isoniazid three times, each 100 mg. One week before surgery, streptomycin was changed to the same amount of isoniazid as before.