title: [Surgical treatment for tuberculosis of intrathoracic lymph nodes in children and adolescents].
abstract: Ninety-four children and adolescents with tuberculosis of intrathoracic lymph nodes (TITLN) were operated on. Late diagnosis and long-term ineffective antituberculous therapy (chemotherapy lasted 2-3 years in 29.8% and 4-5 years in 19.1%) lead to the occurrence of complicated forms of TITLN in 34% of children. Computed tomography (CT) reliably determines the extent, site, and phase of a tuberculous process, assesses the time course of changes in the efficiency of antituberculous therapy. CT aids in defining the optimal time of surgical interventions. Bilateral consecutive one-stage removal of affected lymph nodes is possible in children with bilateral TITLN.
authors.forename: M M
authors.initials: MM
authors.lastname: Kessel'
authors.forename: T V
authors.initials: TV
authors.lastname: Agkatsev
authors.forename: Ia V
authors.initials: IaV
authors.lastname: Lazareva
authors.forename: M I
authors.initials: MI
authors.lastname: Perel'man
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014388:Tuberculosis, Lymph Node / Q000453:epidemiology* / Q000601:surgery*