Непосредственные результаты резекций легкого у больных фиброзно-кавернозным туберкулезом
2019
The objective of the study : to evaluate the results of lung resections in patients with fibrous cavernous tuberculosis. Subjects and methods . A retrospective analysis was performed in 722 patients who underwent lung resections due to disseminated fibrous cavernous tuberculosis. Results. The efficacy of lung resections as a part of comprehensive treatment of patients with disseminated fibrous cavernous tuberculosis was high and provided achievement of a complete clinical effect (sputum conversion and removal of all cavities) in 82.2% of 722 patients (30 (4.2%) patients with hospital mortality). 272/720 (37.8%) patients suffered from complications in the postoperative period (2 patients died of bleeding during surgery). Pleural empyema (primary and secondary) complicated the postoperative course in 68/720 (9.44%) patients, of them 44 people had a failure of the bronchus stump prior to the development of empyema. Within the 6-month period after the surgery, 22/720 (3.1%) patients had their tuberculosis exacerbated.
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