Dynamics of ventilation parameters in patients with bilateral destructive tuberculosis after staged surgical treatment using extrapleural pneumolysis with silicone plombage.

Abstract

AimTo study the dynamics of respiratory function indicators in patients with bilateral widespread destructive tuberculosis during staged surgeryt using extrapleural pneumolysis with silicone plombageon the side of the smallest lesion Material and methods.The main group consisted of 14 patients with widespread bilateral destructive tuberculosis who underwent extrapleural pneumolysis with silicone plombage (ESP) in combination with lung resection on the opposite side. The control group included 29 patients who underwent lung resection operations on both sides. All patients underwent spirometry before and 3-5 weeks after each stage of surgery: FVC (functional vital capacity of the lungs) and FEV1 (volume of forced exhalation in 1 second) were determined. Results.The dynamics of the spirometric study after staged surgery in the ESP group was a decrease in FVC by 1.050.47, FEV1 by 0.950.6 l, and in the comparison group by 1.740.76 l and 1.330.5 l, respectively (p0.05). Conclusion.Staged surgery with the use of ESP is accompanied by a significantly smaller decrease in functional parameters and can be used in patients with widespread bilateral destructive tuberculosis with low respiratory function.