非結核性抗酸菌症に対する手術療法の意義

• 本野 望

  長岡赤十字病院　呼吸器外科

• 保坂 靖子

  長岡赤十字病院　呼吸器外科

• 富樫 賢一

  長岡赤十字病院　呼吸器外科

書誌事項

タイトル別名

• Surgical indications for non-tuberculous Mycobacteriosis: Outcomes and validity of surgery

抄録

Recently, the number of non-tuberculous Mycobacterium (NTM) infection cases has been increasing. Among those infections, the Mycobacterium avium-intracellulare complex (MAC) is the major cause. As such, it is sometimes difficult to treat NTM cases. We evaluated the clinical courses and surgical outcomes of NTM patients (eight of the patients were male, 12 were female, and their median age was 48 years old) who underwent pulmonary resection. The surgical procedures included 18 lobectomies, 1 segmentectomy, and 1 wedge resection. There was no surgical mortality. Ten patients had positive preoperative sputum cultures, and 8 of those patients (80%) attained a sputum-negative status after surgery. Three patients (15%) showed relapse after surgery, and all cases improved after antibiotic therapy. Initial surgery was indicated in six cases with localized NTM; such a treatment strategy may be an option in the treatment of early-phase NTM.

収録刊行物

• 日本呼吸器外科学会雑誌

  日本呼吸器外科学会雑誌 26 (1), 017-020, 2012

  特定非営利活動法人 日本呼吸器外科学会

キーワード

• 非結核性抗酸菌症
• MAC症
• 手術成績

詳細情報

• CRID: 1390282679338718336
• NII論文ID: 130002114770
• NII論文ID: 10030025912
• NII書誌ID: AN10467885
• DOI: 10.2995/jacsurg.26.017
• ISSN: 18814158
• ISSN: 09190945
• Web Site: https://search.jamas.or.jp/link/ui/2012121555
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可