DIAGNOSIS AND TREATMENT OF CONGENITAL LUNG MALFORMATIONS IN CHILDREN
Journal Title: International scientific journal Science and Innovation - Year 2023, Vol 2, Issue 6
Abstract
Congenital lung malformations (CLM) involve defectes of the lungs and bronchial tree such as lung hypoplasy with bronchiectasis, congenital pulmonary airway malformation (CPAM), pulmonary sequestration (PS), bronchogenic cysts, congenital lobar emphysema, and bronchial stenosis (BS). Although symptomatic lesions require surgical resection, the appropriateness of surgery for patients with asymptomatic malformations is a matter of ongoing debate. To review the surgical management of Congenital bronchiectasis (CB) in a pediatric surgery unit over a period of 16 years. Patients and Methods. We retrospectively reviewed the medical records of 79 consecutive children who underwent surgery for CB in our clinic between 2006 and 2022. Results. Seventy-nine patients underwent 83 pulmonary resections during the study period. The mean ages at diagnosis of CB and at the time of surgery were 8.10 ± 4.10 years (range, 1 to 17 years) and 9.70 ± 4.20 years (range, 2 to 18 years), respectively. There were 44 males (55.7%) and 35 females (44.3%). The causes of bronchiectasis were congenital hypoplasy of bronchi (n = 31), secondary bronchiectasis was additional nonspecific pulmonary infection (n = 42) and foreign body aspiration (n = 6). Chest X-rays, bronchography and bronchoscopy (n = 79), chest HRCT (n = 61), angiopulmonography (n = 23) were used, and pulmonary function tests (n = 48) were performed. The types of resections were segmenectomy (26.5%), lobectomy (35.4%), and lobectomy with segmentectomy (17.8%), bilobectomy (8.9%) and pneumonectomy (11.4%). The postoperative status of the patients as follows: “well” in - 49 patients (60.7%), “improved” in 23 patients (29.5%), “worsened” in 6 patients (7.7%). And unfortunately, two patients “died” (2.6%). Conclusions: A radiologic and morphologic evidence of reversal of airway abnormality has been shown in cases of congenital defects of bronchial wall. The morbidity and mortality rates of bronchiectasis surgery are within acceptable ranges. Segmentectomy and lobectomy are well tolerated in children without increase in morbidity and mortality.
Authors and Affiliations
Kh. X. Sultanov, M. M. Aliyev, U. X. Tilavov, U. A. Sharipov
Keywords
Related Articles
- EP ID EP719186
- DOI 10.5281/zenodo.8092351
- Views 85
- Downloads 0
THE ESSENCE AND NECESSITY OF DEVELOPING THE TRADE SERVICES SYSTEM IN UZBEKISTAN
This article addresses the essence and necessity of developing the trade services system, improving the organizational-economic mechanisms for the development of trade services, ensuring the strategic competitiveness of...
THE DIFFERENCE OF CREATIVE AND EDUCATIONAL TEACHING OF STILL LIFE IN PAINTING, PROBLEMS IN THE EDUCATION OF YOUNG EDUCATORS
In the fine arts of Uzbekistan, the well-known artists, the national tradition, values, culture traditions in modern painting have been reflected in the image and color characteristic of figurative times in the sense of...
THE SIGNIFICANCE OF TEACHER AND STUDENT STATUS ON THE BASE OF NATIONAL VALUES IN MODERN TEACHER'S ACTIVITY
The feature of pedagogical guidance to students' extracurricular work is not only in the classroom, but also through social organizations, in the classroom and outside of school, through various activities, by directly i...
FOREIGN EXPERIENCE ON CONDUCTING MARKETING RESEARCH IN VOCATIONAL EDUCATION ORGANIZATIONS OF THE REPUBLIC OF UZBEKISTAN
The foreign experience of conducting marketing research in vocational education organizations provides valuable insights into improving the effectiveness of vocational education in Uzbekistan. This paper examines the use...
APPLICATION OF EFFECTIVE SUBSTITUTES FOR FELDSPARATE MATERIALS IN THE CERAMIC INDUSTRY
The studies of many scientists on the use of various man-made wastes have established the possibility of their use in the ceramic industry. The mutual influence of industry and the environment acts as a component element...