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Information × Registration Number 0218U002076, 0116U000191 , R & D reports Title To work out the technology of surgical treatment of patients with limited forms of chemoresistant pulmonary tuberculosis popup.stage_title Head Kalabukha Igor Anatoliyovych, Registration Date 12-01-2018 Organization Institute of tuberculosis and pulmonology named by F. G. Yanovsky popup.description2 Object - 265 patients with drug-resistant pulmonary tuberculosis. Aim - improving the efficiency of the treatment of patients with bounded chemoresistant lung TB forms by developing and implementation of technology of surgical treatment of this contingent based on optimizing the use of surgical procedures.. Methods - clinical, surgical, radiological, laboratory. It was determined that all patients with TB recidive large residual TB changes in volume from 1-2 segments after the previous cases was observed; in 82,1 % patients with TB recidive and positive MBT culture the drug-resistance was observed, including: MDR - in 55,4 %, XDR - from 5.4 %; no less than the 65.2 % of the patients with TB recidive was appropriate to consider the use of surgery at the end of the previous case of the disease. Estimating the cost / effectiveness ratio for surgical intervention, a statistically insignificant increase in direct medical expenses (by 9.2%) was found with a significant decrease in the cost-effectiveness ratio (210.2%), which suggests that the use of surgical treatment at patients DR TB expedient on medical and economic parameters. It was established that the developed method of atypical resection of the lung in patients with limited forms of DR TB provides a reliable reduction in the duration of the operation, a reduction in the number of postoperative pulmonary-pleural complications and the resulting repeated operations, and a reduction in the period of postoperative in-patient treatment. Sphere of application - phthisiology, surgery Product Description popup.authors Іващенко Володимир Євгенович Веремєєнко Руслан Анатолійович Волошин Ярослав Михайлович Калабуха Ігор Анатолійович Маєтний Євген Миколайович Мельник Олександр Леонідович popup.nrat_date 2020-04-02 Close