Surgical treatment of pulmonary tuberculosis combined with diabetes

The paper analyzes surgical treatment of pulmonary tuberculosis, combined with diabetes based on the experience of treating 184 patients. During hospitalization there were 19% of bacilli-producers, including 52 % of heavy bacilli-producers. D rug resistance of mycobacteria to tuberculostats developed almost in 90% of patients. It was determined the high frequency of complications both in tuberculosis and in diabetes, diagnosed more than half of patients. These factors have led to low efficiency of intensive preoperative preparation (26%) and disease progression against the backdrop of therapy in 9% of patients. The data of plating of lung tissue and pathologic examinations of resected lungs found out considerably higher extent and activity of tuberculosis in its combination with diabetes in comparison with tuberculosis patients without concomitant diseases. These factors contributed to the increased frequency of postoperative complications and mortality, which are 2-4 times higher than those obtained in surgical tuberculosis patients without diabetes. The results of long-term follow-up of patients undergone lung surgery and patients refused it make clear conclusion on the need for surgical treatment of this heavy contingent, which gives a clinical cure of tuberculosis of two-thirds patients.