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0410U005692,
к.мед.н.
18-10-2010
o
Perfection of collapse surgery treatment of patients with multidrug-resistant lung tuberculosis.
Tereshkovych Oleksandr Volodymyrovych,
popup.head Opanasenko Mykola Stepanovych
popup.opponent Сокур Петро Павлович
popup.opponent Висоцький Аркадій Григорович
Метою дисертації є підвищення ефективності лікування хворих на мультирезистентний туберкульоз легень шляхом застосування удосконалених модифікованих колапсохірургічних методик.Проаналізовані результати хірургічного лікування 129 хворих в строках спостереження до 5-ти років: 32 пацієнта прооперовані із застосуванням первинної екстраплевральної торакопластики; 36 - екстраплевральної торакопластики з одномоментною резекцією легені; 31 - екстраплевральної торакопластики з одномоментною резекцією легені і формуванням нового куполу плеври; 30 - традиційної методики торакопластики. Доведено, що розроблена методика первинної екстраплевральної торакопластики дозволяє підвищити ефективність хірургічного лікування хворих на деструктивний мультирезистентний туберкульоз легень на 12,6 %. Доведено, що розроблена методика екстраплевральної торакопластики з одномоментною резекцією легені дозволяє підвищити ефективність хірургічного лікування хворих на деструктивний мультирезистентний туберкульоз легень на 16,8 %. Доведено, що розроблена методика екстраплевральної торакопластики з одномоментною резекцією легені і формуванням нового куполу плеври дозволяє підвищити ефективність хірургічного лікування у хворих на деструктивний мультирезистентний туберкульоз легень на 25,9 %. Розроблена оптимальна схема передопераційного лікування, сформульовані показання до застосування розроблених методик при колапсохірургічному лікуванні хворих на деструктивний мультирезистентний туберкульоз легень.
2010-10-18
2020-04-04
Updated: 2025-12-14
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