THE POSTPONED TREATMENT OUTCOMES IN PULMONARY TUBERCULOSIS PATIENTS AFTER RADICAL PULMONARY RESECTION

The objective of the study: to investigate the efficiency of surgical treatment in pulmonary tuberculosis patients and to define main risk factors of tuberculosis re-activation in those who had surgeryMethods The postponed surgery results (in 6-7 years) were investigated in 273 patients, who were op...

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Main Authors: P. V. Rogozhkin, E. A. Borodulina
Format: Article
Language:Russian
Published: New Terra Publishing House 2018-04-01
Series:Туберкулез и болезни лёгких
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/1100
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author P. V. Rogozhkin
E. A. Borodulina
author_facet P. V. Rogozhkin
E. A. Borodulina
author_sort P. V. Rogozhkin
collection DOAJ
description The objective of the study: to investigate the efficiency of surgical treatment in pulmonary tuberculosis patients and to define main risk factors of tuberculosis re-activation in those who had surgeryMethods The postponed surgery results (in 6-7 years) were investigated in 273 patients, who were operated in 2010-2011 Two groups were formed: Group 1 included patients taken off the register due to recovery, Group 2 included patients who had relapse or exacerbation of the disease after the surgery Those taken off the register due to some other reasons were not included in the comparative analysisResults. It was proved that postponed treatment efficiency exceeded 90% Tuberculosis re-activated in 77% of cases, in those with multiple and extensive drug resistance (533%), lung tissue destruction (62%), fibrous-cavernous tuberculosis (333%), concurrent conditions (524%) and complications in the early post-operative period (95%)  The re-activation occurred more often after large surgeries including consecutive corrective thoracoplasty Should there be indications for surgery, it is sensible to decide about the surgery within the 1st year of follow-up.
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2542-1506
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publishDate 2018-04-01
publisher New Terra Publishing House
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series Туберкулез и болезни лёгких
spelling doaj-art-a98cbb2544534b06a4e71248bf937dea2025-08-20T01:47:52ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062018-04-01963242810.21292/2075-1230-2018-96-3-24-281100THE POSTPONED TREATMENT OUTCOMES IN PULMONARY TUBERCULOSIS PATIENTS AFTER RADICAL PULMONARY RESECTIONP. V. Rogozhkin0E. A. Borodulina1Samara State Medical University, SamaraSamara State Medical University, SamaraThe objective of the study: to investigate the efficiency of surgical treatment in pulmonary tuberculosis patients and to define main risk factors of tuberculosis re-activation in those who had surgeryMethods The postponed surgery results (in 6-7 years) were investigated in 273 patients, who were operated in 2010-2011 Two groups were formed: Group 1 included patients taken off the register due to recovery, Group 2 included patients who had relapse or exacerbation of the disease after the surgery Those taken off the register due to some other reasons were not included in the comparative analysisResults. It was proved that postponed treatment efficiency exceeded 90% Tuberculosis re-activated in 77% of cases, in those with multiple and extensive drug resistance (533%), lung tissue destruction (62%), fibrous-cavernous tuberculosis (333%), concurrent conditions (524%) and complications in the early post-operative period (95%)  The re-activation occurred more often after large surgeries including consecutive corrective thoracoplasty Should there be indications for surgery, it is sensible to decide about the surgery within the 1st year of follow-up.https://www.tibl-journal.com/jour/article/view/1100tuberculosissurgerysurgical interventionsrelapsere-activationlong-term period
spellingShingle P. V. Rogozhkin
E. A. Borodulina
THE POSTPONED TREATMENT OUTCOMES IN PULMONARY TUBERCULOSIS PATIENTS AFTER RADICAL PULMONARY RESECTION
Туберкулез и болезни лёгких
tuberculosis
surgery
surgical interventions
relapse
re-activation
long-term period
title THE POSTPONED TREATMENT OUTCOMES IN PULMONARY TUBERCULOSIS PATIENTS AFTER RADICAL PULMONARY RESECTION
title_full THE POSTPONED TREATMENT OUTCOMES IN PULMONARY TUBERCULOSIS PATIENTS AFTER RADICAL PULMONARY RESECTION
title_fullStr THE POSTPONED TREATMENT OUTCOMES IN PULMONARY TUBERCULOSIS PATIENTS AFTER RADICAL PULMONARY RESECTION
title_full_unstemmed THE POSTPONED TREATMENT OUTCOMES IN PULMONARY TUBERCULOSIS PATIENTS AFTER RADICAL PULMONARY RESECTION
title_short THE POSTPONED TREATMENT OUTCOMES IN PULMONARY TUBERCULOSIS PATIENTS AFTER RADICAL PULMONARY RESECTION
title_sort postponed treatment outcomes in pulmonary tuberculosis patients after radical pulmonary resection
topic tuberculosis
surgery
surgical interventions
relapse
re-activation
long-term period
url https://www.tibl-journal.com/jour/article/view/1100
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AT eaborodulina thepostponedtreatmentoutcomesinpulmonarytuberculosispatientsafterradicalpulmonaryresection
AT pvrogozhkin postponedtreatmentoutcomesinpulmonarytuberculosispatientsafterradicalpulmonaryresection
AT eaborodulina postponedtreatmentoutcomesinpulmonarytuberculosispatientsafterradicalpulmonaryresection