Место хирургии в оздоровлении больных с множественно-лекарственно-устойчивым туберкулезом легких
Статья в журнале
Русский
Библиогр.: с. 29 (5 назв.)
616.24-002.5-089
множественно-лекарственно-устойчивый туберкулез; хирургическое лечение; multiple-drug-resistant tuberculesis; surgical treatment
Медицина и здравоохранение / Клиническая медицина / Туберкулез, Медицина и здравоохранение / Клиническая медицина / Хирургия
Purpose. Elaboration of intensive preoperative specific chemotherapy and determination of surgical treatment efficacy in patients with pulmonary tuberculesis with multiple drug resistance. Material and methods. As a clinical material for the survey 65 patients with multiple-drug-resistant tuberculesis were selected, who had been operated in the pulmonary-surgical department of the Yakutsk Research Institute of tuberculesis from 2000 to 2003. Treatment efficacy was being determined when observing patients in the course of 2-3 years after the operation. Results. In 76.6 % cases the long-lasting chemotherapy promotes to MDR tuberculesis forming and efficacy of the operation depends direct proportionally on duration of the disease. In 23.1 % patients with lower severity of MDR tuberculesis micobacterial tuberculesis (MBT) was a find being detected from the resected lung portion after operation. Surgical treatment efficacy of MDR tuberculesis is estimated at 83.0 %, postoperative complications - 10.7 %, postoperative activation of tuberculesis - 4.6 %, lethality - 6.1 %. Conclusion. Initial patients with prevalent MDR tuberculesis are to be operated on when the phase "treatment prolongation" expires, i.e. in the late 5-6 months of chemotherapy, others with lower severity - in 2-4 months
Место хирургии в оздоровлении больных с множественно-лекарственно-устойчивым туберкулезом легких / А. Ф. Кравченко, Г. И. Алексеева, М. К. Винокурова, В. А. Чуркин // Якутский медицинский журнал. — 2006. — N 2 (14). — С. 26-29.
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