Affiliation:
1. Central Tuberculosis Research Institute
2. Central Tuberculosis Research Institute; Moscow Medical University "Reaviz"
3. Central Tuberculosis Research Institute; Moscow Medical University "Reaviz"; Russian Medical Academy of Continuous Professional Education
Abstract
Objective: to show the effectiveness of simultaneous surgical treatment of patients with tuberculosis of multiple localizations: tuberculosis of the lungs and the lumbar spine.Materials and Methods. Simultaneous surgical treatment was performed in 24 patients. Evaluation of the effectiveness of treatment was carried out according to the signs of the early and later (after 12 months) postoperative period. Operational material for detection microbiologically and morphologically to determine its causative agent, drug sensitivity and inflammation activity.Results: the effectiveness of simultaneous surgical treatment was 87.3 %. The number of complications in the early postoperative period was 8.4 % (n = 2), in the late 4.2 % (n = 1). According to the results of the examination of the surgical material, tuberculosis was confirmed in 20 patients (83.3 %), both in the bone structure and in the lung tissue. In 4 (16.7 %) patients, nonspecific inflammation of the bone structure was noted.Conclusion: Simultaneous surgical treatment of tuberculosis of the lungs and lumbar spine is a highly effective method of treating tuberculosis of multiple localizations. It is possible to recommend the use of simultaneous surgical treatment for simultaneous sanitization of foci of infection, both in the lung tissue and in the spine.
Publisher
Reaviz Medical University
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