The use of methods of collapse therapy and valvular bronchoblocation as preoperative preparation in a patient with drug-resistant pathogen: a clinical observation

封面

如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

The main indications for the use of surgical treatment methods are destructive forms of the tuberculosis process with drug resistance of the pathogen, including bilateral ones. However, the use of resection methods of treatment may be accompanied by a large amount of loss of lung tissue and a violation of the functional parameters of the lungs in the future. A possible solution to this problem can be the use of methods of collapse therapy (artificial pneumoperitoneum) and valvular bronchoblocation as preoperative preparation in patients with pulmonary tuberculosis, including those with drug resistance of the pathogen.

A clinical case is given, which demonstrates the high effectiveness of using these methods in the framework of preoperative preparation in a patient with a widespread tuberculosis process and drug resistance of the pathogen. The proposed integrated approach contributed to reducing the volume of surgical intervention and preventing the development of functional disorders in the postoperative period.

全文:

受限制的访问

作者简介

N. Chumovatov

Central Tuberculosis Research Institute

编辑信件的主要联系方式.
Email: Necro5412@mail.ru
ORCID iD: 0000-0001-8745-7940
SPIN 代码: 7088-5717

Candidate of Medical Sciences

俄罗斯联邦, Moscow

N. Chernykh

Central Tuberculosis Research Institute

Email: Necro5412@mail.ru
ORCID iD: 0000-0001-6787-2362
SPIN 代码: 9144-7729

Candidate of Medical Sciences

俄罗斯联邦, Moscow

O. Komissarova

Central Tuberculosis Research Institute; N.I. Pirogov Russian National Research Medical University

Email: Necro5412@mail.ru
ORCID iD: 0000-0003-4427-3804
SPIN 代码: 6006-6732

MD

俄罗斯联邦, Moscow; Moscow

V. Romanov

Central Tuberculosis Research Institute

Email: Necro5412@mail.ru
SPIN 代码: 1695-1280

Professor, MD

俄罗斯联邦, Moscow

参考

  1. Global tuberculosis report 2023. Geneva: World Health Organization, 2023.
  2. Еримбетов К.Д., Бектурсинов Б.У., Зетов А.Ш. Эффективность клапанной бронхоблокации в комплексном лечении больных туберкулезом легких с широкой лекарственной устойчивостью. Туберкулез и болезни легких. 2018; 96 (4): 47–51 [Erimbetov K.D., Bektursinov B.U., Zetov A.Sh. Efficiency of valve bronchial block within comprehensive treatment of pulmonary tuberculosis patients with extensive drug resistance. Tuberculosis and Lung Diseases. 2018; 96 (4): 47–51 (in Russ.)]. doi: 10.21292/2075-1230-2018-96-4-47-51
  3. Попова Л.А., Шергина Е.А., Ловачева О.В. и др. Изменения функционального статуса легких в ранний период эндоскопической клапанной бронхоблокации у больных хроническим деструктивным туберкулезом. Пульмонология. 2018; 28 (3): 332–40 [Popova L.A., Shergina Е.A., Lovacheva О.V. et al. Change in lung function early after endoscopic bronchial valve placement in patients with chronic cavitary tuberculosis. Pulmonologiya. 2018; 28 (3): 332–40 (in Russ.)]. doi: 10.18093/0869-0189-2018-28-3-332-340
  4. Сабиров Ш.Ю., Рахманов Ш.А. Хирургическое лечение туберкулеза легких с множественной лекарственной устойчивостью возбудителя. Туберкулез и болезни легких. 2015; 6: 128–9 [Sabirov Sh.Y., Rakhmanov Sh.A. Surgical treatment of pulmonary tuberculosis with multidrug-resistant pathogen. Tuberculosis and Lung Diseases. 2015; 6: 128–9 (in Russ.)].
  5. Омельчук Д.Е., Краснов Д.В., Петренко Т.И. и др. Влияние множественной лекарственной устойчивости возбудителя туберкулеза на исходы резекции легкого по поводу фиброзно-кавернозного туберкулеза. Туберкулез и болезни легких. 2023; 101 (1): 41–7 [Omelchuk D.E., Krasnov D.V., Petrenko T.I. et al. Impact of Multiple Drug Resistant Tuberculous Mycobacteria on the Outcomes of Lung Resection for Fibrous Cavernous Tuberculosis. Tuberculosis and Lung Diseases. 2023; 101 (1): 41–7 (in Russ.)]. doi: 10.58838/2075-1230-2023-101-1-41-47
  6. Батыршина Я.Р., Краснов В.А., Петренко Т.И. Результаты лечения туберкулеза с множественной и широкой лекарственной устойчивостью возбудителя и эффективность резекционной хирургии у пациентов с факторами риска неблагоприятных исходов. Туберкулез и болезни легких. 2016; 94 (5): 28–34 [Batyrshina Ya.R., Krasnov V.A., Petrenko T.I. Treatment outcomes of multiple and extensive drug resistant tuberculosis and efficiency of surgical resections in patients with high risk of unfavorable outcomes. Tuberculosis and Lung Diseases. 2016; 94 (5): 28–34 (in Russ.)]. doi: 10.21292/2075-1230-2016-94-5-28-34

补充文件

附件文件
动作
1. JATS XML
下载
2. Fig. 1. Axial computed tomography slices of the chest, lung window: focal infiltrative changes in the left lung and decay cavities in the lung tissue

下载 (96KB)
索引源数据
3. Fig. 2. Axial computed tomography slices of the chest, lung window, after 2 months of treatment: partial resorption and consolidation of focal infiltrative changes in the left lung, reduction in the size of decay cavities

下载 (99KB)
索引源数据
4. Fig. 3. Axial computed tomography slices of the chest, lung window, after 4 months of treatment: closure of decay cavities in the left lung, formation of cirrhotic changes in the lung tissue

下载 (90KB)
索引源数据
5. Fig. 4. Axial computed tomography slices of the chest, lung window, after 5 months of treatment: chain of metal brackets, their integrity is preserved, no new focal and infiltrative changes are determined

下载 (99KB)
索引源数据

版权所有 © Russkiy Vrach Publishing House, 2025