6. The Implementation Of Silicone Implant And Valve Bronchoblocation At Collapsosurgical Treatment Of Patients With Extensively Resistant Tuberculosis (Xdr Tb)

Authors

  • K.D. Erimbetov National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan
  • Ye.A. Aubakirov National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan
  • B.U. Bektursinov National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan
  • Zh.A. Ibraev National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan
  • A.K. Imakhayev National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan
  • B.A. Turgumbaev National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan

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Abstract

For 30 patients with extensive drug resistance (main group) performed surgical intervention, including thoracoplasty with extrapleural filling with silicone implant and with preliminary valve bronchoblocation of the draining bronchus of the injured lung segment (lobe), the remaining 30 patients (the control group) performed surgical intervention including only extrapleural thoracomyoplasty. An analysis of the results found that the performed collapse surgical interventions in various studies showed almost equal effectiveness: in the main group it constituted 63,3%,and in the control, it was achieved in 60% of patients. Despite of the equal treatment effectiveness, there were determined the advantages of the collapsosurgical method with use of silicone implant against traditional methods of thoracoplasty: a) absence of the cosmetic defect of the chest wall in patients after operation (p<0.000) b) no impairment of motor function in the shoulder joint (p<0.000); c) the patient’s posture is not disturbed(p<0,000 ); ria, resistance

Keywords

Tuberculosis with extensive drug resistance, collapsosurgical intervention, thoracomyoplasty, silicone implant, valve bronchob-locator, tuberculosis mycobacte-ria

References

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Published

2020-04-01

Issue

No. 1 (2020)

Section

Статьи