[Surgical tactics in bilateral destructive pulmonary tuberculosis].
43 patients with pulmonary tuberculosis (mean age 36.8 years) were treated surgically. All the patients had disseminated bilateral disease with destruction. Preoperative bacteriological examination identified M.tuberculosis in 67.5% of the examinees. In two-thirds of them x-ray evidenced total pulmonary lesion. 40 subjects of all surgical patients underwent operation for bilateral fibrous-cavernous tuberculosis with caverns location in the upper lobe or upper lobe and 6 segment. The disease was diagnosed to be 1-3 years in duration. The interventions developed in the Novosibirsk Research Institute of Tuberculosis included: osteoplastic thoracoplasty, resection following osteoplastic thoracoplasty, atypical extrapleural resection with limited thoracoplasty, open treatment of the caverns. The surgery resulted in marked improvement (abacillation, cavernous healing) in 42 patients. Long-term follow-up recorded cure in 41 patients (95.3%).
Andrenko
A A
AA
Grishchenko
N G
NG
Beliavskiĭ
V E
VE
Svistel'nik
A V
AV
D000328:Adult; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013905:Thoracoplasty; D013997:Time Factors; D014397:Tuberculosis, Pulmonary / Q000601:surgery*
Khirurgicheskaia taktika pri dvustoronnem destruktivnom tuberkuleze legkikh.