Search academic texts

Information × Registration Number 0222U000839, 0118U007366 , R & D reports Title Develop an algorithm for the applying of surgical treatment for patients with pulmonary tuberculosis with using of computer densitometry popup.stage_title Head Kalabukha Igor A, Доктор медичних наук Registration Date 19-01-2022 Organization State organization "National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky National academy of medical sciences of Ukraine" popup.description2 The object of study – 243 patients with pulmonary tuberculosis. The aim is to increase the effectiveness of treatment of patients with pulmonary tuberculosis (TB) by determining objective indications for surgery based on computer densitometric characteristics of the disease and improving the technique of operations. Methods and equipment – clinical, surgical, radiological, laboratory; videothoracoscopic complex "Contact", ventilators "Dragger", "Angstrom"; electric welding complex EK-300M1. It is established that the values of densitometry, from 15 HU to 55 HU indicate the relative, below 15 HU – the absolute indications for surgery, over 55 HU – the feasibility of the operation is decided individually.It is determined that at increased (over -730 HU) density of the parenchyma observed obliteration of the pleural cavity and interlobular fissures, fibrous changes in the lung root, at reduced density (below -860 HU) – bleeding and insufficient hermeticity of the parenchyma suture, which together aggravated the early postoperative period and contributed to the overall unsatisfactory results. Tightness of the separated pulmonary parenchyma and, as a result, reduction of term of postoperative stay in a hospital from 20,7 days to 14,5 days. An algorithm for the application of surgical treatment of patients with pulmonary tuberculosis using computer densitometry, which provides a reasonable sequence of actions for the formation of a contingent of patients with indications for surgery, determining the timing, type and technique of surgery, which allowed to cure 97,0 % of patients with a reduction in the number of relapses to 3,3 % and no mortality. The sphere of storing is surgery. Product Description popup.authors Ivashchenko Volodymyr Ye Veremeenko Ruslan A Voloshin Yaroslav M Lynnyk Mykola I Maetnyy Evven M Melnyk Oleksandr L popup.nrat_date 2022-03-09 Close