近几年来,肺结核病的自然耐药率日渐增高。1981年北京市结核病流调菌检发现,19.2%的初治患者和61.9%的复治患者对一线药物耐药,加之肺结核病并发症的出现,故使肺结核病的外科治疗仍占有重要地位。但是,80年代以前肺切除的主要依据是病理学,即以肺毁损、不能闭合的空洞、结核球 In recent years, the natural resistance rate of tuberculosis has been increasing. In 1981, the tuberculosis epidemic detection in Beijing found that 19.2% of newly diagnosed patients and 61.9% of retreatment patients were resistant to the first-line drugs, combined with the emergence of pulmonary tuberculosis complications. Therefore, the surgical treatment of tuberculosis still plays an important role. However, the main basis for pneumonectomy prior to the 1980s was pathology, which was the destruction of the lungs, the unoccluded cavities, the tuberculoma