Therapeutic and diagnostic algorithm in patients with cavities of the lungs

A survey of 256 patients with lungs’ cavities - 211 (82.4%) men and 45 women aged 16 to 85 years was carried out. The following diagnoses were established: lung abscesses, peripheral lung cancer with disintegration, cavernous tuberculosis, true bronchogenic lung cyst, aspergilloma, emphysematous cysts and bullae, pulmonary echinococcosis. All patients underwent a complex radiation examination of the lungs, bronchoscopy with various types of biopsies, followed by bacteriological, cytological, and morphological studies of the biopsy material, as well as transthoracic aspiration biopsy. Sanitation bronchoscopy was performed in 146 patients with lung abscesses. Based on only X-ray methods, it was possible to establish the nosological form of the lung cavity formation in 204 patients (79.7%). With the combined use of radiation diagnostic methods, bronchoscopy with various types of biopsies, and transthoracic puncture biopsy followed by morphological examination of the biopsy material, the correct diagnosis was established 100% of patients. In patients with lung abscesses who received NO-therapy in complex treatment, there was a significant decrease in clearing the abscess cavity.

cavity formation of the lung, abscess, peripheral cancer, tuberculosis, bronchogenic cyst, emphysematous cyst, radiation diagnostics, bronchoscopy, NO-therapy