Аннотация:
Objective. To analyze the effectiveness of treatment methods on the basis of many years of experience in assisting patients with abscesses and pulmonary gangrene. Methods. The treatment results of 2492 patients with the lung abscesses (99.2[%]) and pulmonary gangrene (0.8[%]) for the last 42 years (1977-2018) were evaluated by decades. Diagnostic methods included X-ray examination, CT- scanning, rigid and flexible bronchoscopy, and also bacteriological examination of the bronchial secretions. Surgical treatment applied in 268 patients included pleuropulmonectomy, pneumonectomy, pleurolobectomy, atypical lung resection, thoracoabscessotomy, chest phlegmon drainage. Minimally invasive treatment methods were transthoracic (n=130) or transbronchial (n=485) drainage of the abscess cavity. The frequency of postoperative complications and mortality depending on changes in surgical treatment of purulent-destructive lung diseases for decades and for the past 12 years were analyzed. Results. In the
Ясногородскy О. О.
Гостишев В. К.
Шулутко А. М. Александр Михайлович 1950-
Пинчук Т. П. Татьяна Павловна 1960-
Стручков Ю. В. Юрий Викторович 1947-
Талдыкин М. В. Михаил Валентинович 1960-
Насиров Ф. Н. о. Фикрат Наби оглы 1955-
Мочалов В. А.
Yasnogorodsky O. O.
Gostishev V. K.
Shulutko A. M. Aleksandr Mikhaylovich 1950-
Pinchuk T. P. Tat`yana Pavlovna 1960-
Struchkov Yu. V. Yurij Viktorovich 1947-
Taldy'kin M. V. Mikhail Valentinovich 1960-
Nasirov F. N. o. Fikrat Nabi ogly' 1955-
Mochalov V. A.
Lung abscess and gangrene: Evolution of treatment methods [АБСЦЕСС И ГАНГРЕНА ЛЕГКОГО: ЭВОЛЮЦИЯ МЕТОДОВ ЛЕЧЕНИЯ]
Текст визуальный непосредственный
Новости хирургии
Витебский государственный медицинский университет
Т. 28, Вып. 2 С. 150-158
2020
Статья
Bronchoscopy Lung abscess Pulmonary gangrene Pulmonectomy Transbronchial drainage
Objective. To analyze the effectiveness of treatment methods on the basis of many years of experience in assisting patients with abscesses and pulmonary gangrene. Methods. The treatment results of 2492 patients with the lung abscesses (99.2[%]) and pulmonary gangrene (0.8[%]) for the last 42 years (1977-2018) were evaluated by decades. Diagnostic methods included X-ray examination, CT- scanning, rigid and flexible bronchoscopy, and also bacteriological examination of the bronchial secretions. Surgical treatment applied in 268 patients included pleuropulmonectomy, pneumonectomy, pleurolobectomy, atypical lung resection, thoracoabscessotomy, chest phlegmon drainage. Minimally invasive treatment methods were transthoracic (n=130) or transbronchial (n=485) drainage of the abscess cavity. The frequency of postoperative complications and mortality depending on changes in surgical treatment of purulent-destructive lung diseases for decades and for the past 12 years were analyzed. Results. In the