Long-term results of surgical interventions for pulmonary tuberculosis
Journal Title: Туберкульоз, легеневі хвороби, ВІЛ-інфекція - Year 2018, Vol 0, Issue 1
Abstract
The results of surgical treatment of patients with pulmonary tuberculosis were evaluated depending on the prevalence of the tuberculosis process and the type of surgical intervention used. According to the results of the questionnaire, 556 people operated on pulmonary tuberculosis in the period from 1 to 9 years ago, the frequency of cases of tuberculosis reactivation, the complicated course of the remote postoperative period, as well as the mortality and case fatality rate outcomes were assessed. It was found that after sublobular resection and lobectomy, treatment failure was noted at 3.2 %, relapse of tuberculosis — 2.2 %, pleural empyema — 1.1 %, bronchial fistula — 0.8 %, cardiovascular insufficiency — in 1.3 % operated. The mortality rate was 3.2 % with a total clinical efficacy of 96.0 %. After combined resection and bylobectomy, treatment failure was noted at 8.9 %, relapse of tuberculosis — 15.0 %, pleural empyema — 12.0 %, bronchial fistulae — 6.3 %, cardiovascular failure — 5.0 % operated. The mortality rate was 12.6 % with a total clinical efficacy of 87.4 %. After pneumonectomy, treatment failure was noted at 5.6 %, relapse of tuberculosis — 5.6 %, pleural empyema — 3.8 %, bronchial fistulae — 3.8 %, cardiovascular failure — 3.8 % operated. The mortality rate was 10.0 % with a total clinical efficacy of 90.0 %.
Authors and Affiliations
O. V. Khmel, I. A. Kalabukha
Keywords
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