ABSTRACT
The paper analyzes morphological changes and results of surgical treatment in 515 patients with destructive pulmonary tuberculosis. Two hundred and seventy-four patients underwent mediastinal lymphadenectomy and in 241 patients lung resections or pneumonectomies were not followed by lymphadenectomy or solitary caseous molten lymph nodes were removed during an operation. In disseminated destructive pulmonary tuberculosis, active tuberculosis of intrathoracic lymph nodes (ILN) was found in 97%. The latter's significant signs are an enlarged lymph node of more than 2.0 cm, consolidation, periadenitis, and fluctuation. The incidence, extent, and pattern of ILN lesion varied in a lung tuberculous process depending on its site, form, and inflammation phase.
Subject(s)
Lung/pathology , Lymph Node Excision/methods , Lymph Nodes/pathology , Pneumonectomy/methods , Tuberculosis, Pulmonary/surgery , Adolescent , Adult , Humans , Lung/surgery , Lymph Nodes/surgery , Mediastinum , Middle Aged , Retrospective Studies , Severity of Illness Index , Tuberculosis, Pulmonary/pathology , Young AdultABSTRACT
The immediate results of partial resections were analyzed in 120 patients with drug-resistant pulmonary tuberculosis, among whom 70 patients had multidrug resistance. A complete clinical effect (abacillation and no decay cavities) was achieved in 117 (97.5%) patients, including in 67 (95.7%) patients with multidrug resistance who showed improvement in 3 (2.5%) cases, fatal outcomes being absent.
Subject(s)
Antitubercular Agents/therapeutic use , Pneumonectomy/methods , Tuberculosis, Multidrug-Resistant/surgery , Tuberculosis, Pulmonary/surgery , Adult , Female , Follow-Up Studies , Humans , Male , Treatment Outcome , Tuberculosis, Multidrug-Resistant/drug therapy , Tuberculosis, Pulmonary/drug therapySubject(s)
Tomography, X-Ray Computed/instrumentation , Tuberculosis, Lymph Node/diagnosis , Bronchoscopy/methods , Diagnosis, Differential , Humans , Magnetic Resonance Imaging/instrumentation , Radionuclide Imaging/instrumentation , Thoracoscopy/methods , Tuberculosis, Lymph Node/diagnostic imaging , UltrasonographyABSTRACT
The results of pleural biopsy were analyzed in 293 patients with exudative pleurisy, among whom a group of free pleurisy included 88 cases, encapsulated pleurisy and pleural obliteration were observed in 156 and 11 patients, respectively. Thoracoscopy with visual pinching pleural biopsy was performed in 59 patients puncture pleural biopsy was made in 234 patients. There is evidence for that thoracoscopic pleural biopsy had a significant advantage in pleurisy in the phase of organization. An original procedure that has allowed indications for thoracoscopic pleural biopsy to be expanded by covering patients with pleurisy in the phase of organization is presented.
