肺結核後遺症による在宅酸素療法症例の検討　内科的治療群と外科的治療群の比較

DOI 被引用文献9件 参考文献6件

書誌事項

タイトル別名
  • Home oxygen therapy (HOT) in patients with pulmonary tuberculosis sequelae. Comparison between Patients Medically Treated and Those Surgically Treated.
  • Comparison between Patients Medically Treated and Those Surgically Treated
  • 内科的治療群と外科的治療群の比較

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抄録

In Japan there are about 40, 000 patients under home oxygen therapy (HOT), of whom about 30 to 40% are pulmonary tuberculosis sequelae (TBS). These patients can be divided into three groups depending on the treatments they had, Group 1: those who had medical treatments only, Group 2: those who had artificial pneumothorax, and Group 3: those who had thoracoplasties or other surgical treatments. The purpose of this study was to observe the distributions and possible differences in the survival rates among these groups. The study included 1537 patients with TBS under HOT followed at National Hospitals and Sanatoriums nationwide in Japan. In 819 patients the treatments were specified and of those 354 were in Group 1, 29 in Group 2, and 436 in Group 3, so that the proportion of surgically treated patients in PTS was estimated between 28.4% (436/1537) to 53.2% (436/819). The ages at the onset of tuberculosis, at the start of HOT and the intervals in between were 36.6, 66.2 and 29.8 in Group 1, and 26.8, 65.5, and 38.1 in Group 3 respectively. Though the ages at the start of HOT were the same, those at the onset of tuberculosis were about ten years younger in Group 3 than in Group 1. Com paring Group 1 and 3, the survival rates after the initiation of HOT (Kaplan-Meiermethod) was better in Group 2 (surgically treated) than in Group 1 (medically treated). It is speculated that the reason could be a better preservation of the function of the re maining lung in the surgically treated and a higher incidence of obstructive impairments in the medically treated patients.

収録刊行物

  • 結核

    結核 71 (11), 597-601, 1996

    一般社団法人 日本結核病学会

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