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目的探讨初治涂阳肺结核(简称肺结核)临床治愈时肺部尚未完全吸收病灶的X线转归以及化疗方案的远期疗效。方法对2499例临床治愈的肺结核病例分别在治愈后3、6、12、18、24及36个月摄胸部正位片,分别与治愈时胸片进行对比,分析X线变化。结果临床治愈后36个月显示:(1)肺部病灶吸收好转2334例,占93.4%;(2)肺部病灶未见变化101例,占4.0%;(3)肺部病灶增多,总共64例,仅占2.6%。结论肺结核采用标准化疗方案和全程督导短程间歇化疗(DOTS)管理,远期疗效显著;临床治愈早于X线治愈,且可靠有效;X线检查对检测肺结核的治疗效果及预防复发等方面均有重要意义。
Objective To investigate the long-term results of X-ray prognosis of chemotherapy-naive lung cancer before the treatment of smear-positive pulmonary tuberculosis (referred to as pulmonary tuberculosis). Methods A total of 2499 cases of clinically cured pulmonary tuberculosis were taken at 3, 6, 12, 18, 24 and 36 months after operation, respectively. Results 36 months after clinical cure showed: (1) 2334 cases of lung lesions improved, accounting for 93.4%; (2) 101 cases of pulmonary lesions were unchanged, accounting for 4.0%; (3) increased lung lesions, a total of 64 For example, only 2.6%. Conclusions The standard chemotherapy and full supervision of DOTS management of pulmonary tuberculosis have a long-term curative effect. The clinical cure is earlier than that of X-ray and is reliable and effective. The treatment of tuberculosis by X-ray and the prevention of relapse Significance.