[Colapse therapy in the complex treatment of new cases of destructive pulmonary tuberculosis].
The results of therapy were comparatively analyzed in 103 patients with destructive pulmonary tuberculosis receiving collapse therapy (artificial pneumothorax (n=42), pneumoperitoneum (n=57), artificial pneumothorax + pneumoperitoneum (n=4) and 99 control patients. Collapse therapy substantially increases the efficiency of treatment of new cases of destructive pulmonary tuberculosis: bacterial discharge cessation was achieved in 95.6%; decay cavities were closed in 90.2% (72.4 and 61.6% in the controls, respectively). With artificial pneumothorax, decay cavities closures occurred more frequently and earlier: after an average of 3.5 +/- 1.3-months of therapy; with pneumoperitoneum it did following 4.5 +/- 1.0 months. Early loose pleural adhesions do not preclude the formation of a gas bubble and the collapse of an afflicted lung portion.
Salmakhanov
A R
AR
Guseĭnov
G K
GK
Mutalimov
M A
MA
D000293:Adolescent; D000328:Adult; D000368:Aged; D003096:Collapse Therapy; D003627:Data Interpretation, Statistical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D011031:Pneumothorax, Artificial / Q000379:methods; D013902:Radiography, Thoracic; D013997:Time Factors; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000000981:diagnostic imaging / Q000382:microbiology / Q000628:therapy*