Phthisiology

doi: 10.25005/2074-0581-2018-20-2-3-276-280
SURGICAL TREATMENT OF PULMONARY AND EXTRAPULMONARY TUBERCULOSIS

A.B. Sanginov1, F.R. Sharipov2, Sh.I. Rozikov2, A.D. Khasanov2, Kh.V. Saidov2

1Department of Phthisiopulmonology, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2National Center for Tuberculosis, Pulmonology and Thoracic Surgery, Vahdat, Republic of Tajikistan

Objective: To study of the frequency of surgical treatment of patients with pulmonary cysts, abdominal, pulmonary and bones tuberculosis.

Methods: Analyzed results of surgical treatment of 1506 patients for 2013-2018, which are distributed on the following groups: bone tuberculosis (BT) – 713 (47.3%), pulmonary cysts (PC) – 380 (25.2%), pulmonary tuberculosis (PT) – 310 (20.6%) and lymphoabdominal tuberculosis (LAT) – 103 (6.8%) patients.

Results: Analysis of the structure of surgery interventions shows that in recent years (2016-2017) have been marked by a rise in the frequency of BT compared to 2013-2015. Among all surgical forms of tuberculosis prevailed BT, namely, spinal tuberculosis (66%). In this case, the lesion of the lumbar and thoracic spine was observed in 65.9% and 32.3% of cases, respectively. Among pulmonary tuberculosis prevailed fibro-cavernous (58%) and cavernous (24.2%) tuberculosis. Operations in the non-tuberculous pathology of the pulmonary were performed in 25.2% of cases. When LAT, surgical interventions were more often performed for tuberculosis of the lymphatic system (68.0%) and abdominal cavity (26.2%).

Conclusions: Among the surgical forms of tuberculosis, bone tuberculosis predominated, namely, spinal tuberculosis. Analysis of the structure of the performed operations depending on the sex of the patients shows that the most common forms of patients with surgical forms of tuberculosis are male patients.

Keywords: Pulmonary tuberculosis, pulmonary cyst, lymphoabdominal tuberculosis, spinal tuberculosis.

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Authors informations:

Sanginov Abdurasul Boboevich, Doctor of Medical Sciences, Head of the Department of Phthisiopulmonology, Avicenna Tajik State Medical University

Sharipov Firuz Rustamovich, Director of the National Center for Tuberculosis, Pulmonology and Thoracic Surgery

Rozikov Shodmon Izatulloevich, Surgeon of the National Center for Tuberculosis, Pulmonology and Thoracic Surgery

Khasanov Amonullo Djunaydulloevich, Surgeon of the National Center for Tuberculosis, Pulmonology and Thoracic Surgery

Saidov Khayridin Vaysidinovich, Phthisiatrician of the National Center for Tuberculosis, Pulmonology and Thoracic Surgery

Address for correspondence:

Sanginov Abdurasul Boboevich

Doctor of Medical Sciences, Head of the Department of Phthisiopulmonology, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel .: (+992) 919 028144

E-mail: abdurasuls@mail.ru

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