Radical Lung Resection in Treatment of Pulmonary Tuberculosis

Abstract

Aim - to analyze afterhistory of TB patients who had radical lung resection. Methods of research. On the basis of the results of surgical treatment of 273 patients in 2010-2011, two groups were formed: the first group - patients who were deregistered due to their recovery; the second group -patients who had tuberculous process reactivated after surgery as recurrence or acute condition. Results. The effectiveness of tuberculosis surgical treatment in long-term period was proved in more than 90% of cases. Reactivation process started in 7.7% of cases, in patients who had multiple and extensive drug resistant MTB (53.3%), in patients who had destruction in the lung tissue (62%); in patients with fibrous-cavernous tuberculosis (33.3%), with comorbidity (52.4%), with complications in the early postoperative period (9.5%). Reactivation occurred more often in cases of wide surgical intervention, including cases with follow-up remedial thoracoplasty. If there are indications for surgical treatment, it is better to decide upon surgery within the first year of supervision.

Routing and Logistics of Pulmonary Tuberculosis Patients During Selection for Surgical Treatment in the Republic of Bashkortostan

“…Таким образом, цель данного исследования заключается в том, чтобы добиться своевременного направления больных туберкулезом легких на хирургическое лечение в Республике Башкортостан путем оптимизации маршрутизации пациентов в специализированное легочно-хирургическое отделение. [10]. Маршрутизация и логистика пациентов с туберкулезом, нуждающихся в хирургическом лечении, в Республике Башкортостан представлена на ри сунке 3.…”

Possibilities of surgical treatment of patients coinfected with HIV/tuberculosis

“…The search for optimal methods of treatment is an actual problem [12,13]. Surgical treatment is one of the methods in complex treatment that allows increasing the effectiveness of treatment [14][15][16][17]. The surgical methods of treatment effectiveness for patients with tuberculosis combined with HIV-infection is still to be studied [18,19].…”