Specific tissue reactions after treatment with the valve bronchial block as per the data of pathomorphological examination of the resected material
Abstract
The resected material obtained during treatment of destructive pulmonary tuberculosis patients was analyzed, the treatment included bronchial valve block. The majority of patients from comparison group – 23(92.0%) and 6 (40.0%) from the main group (p = 0.0007, Fisher’s exact test – FET) manifested the signs of specific and non-specific pulmonary inflammation at the moment of surgery. Symptoms of chronic bronchitis were detected in 32 (80.8%) patients, of them in 12 (80.0%) in the main group and in 20 (80.0%) patients in the comparison group (p = 0.6, FET). It has been found out that the use of bronchial valve block in the observed patients did not cause the development or exacerbation of chronic bronchitis.
About the Authors
S. V. Sklyuev
Novosibirsk Tuberculosis Research Institute
Russian Federation
Novosibirsk
Russian Federation
Novosibirsk
A. V. Levin
Novosibirsk Tuberculosis Research Institute
Russian Federation
Novosibirsk
Russian Federation
Novosibirsk
E. A. Tseymakh
Altaisky State Medical University
Russian Federation
Russian Federation
References
1. Gedymin L.E., Lovacheva O.V., Turovtseva Yu.V. et al. Morphological reactions of healing in pulmonary tuberculosis treated with the use of endobronchial valve. Tub., 2011, no. 10, pp. 50-54. (In Russ.)
2. Krasnov D.V., Grischenok N.G., Beschetny T.G. et al. Osteoplastic thoracoplasty with the use of the endobronchial valve in the complex treatment of disseminated fibrous cavernous pulmonary tuberculosis. Byul. Vostoch. Nauch. Tsentra Sib. Otdeleniya RАMN, 2011, no. 2, pp. 52-57. (In Russ.)
3. Levin А.V., Tseymakh E.А., Zimonin P.E. et al. Use of valve bronchial block for integral treatment of disseminated destructive pulmonary tuberculosis patients with the complication of hemorrhage. Probl. Tub., 2007, no. 9, pp. 13-16. (In Russ.)
4. Levin А.V., Tseymakh E.А., Zimonin P.E. et al. Use of valve bronchial block and extrapleural fragmentation thoracoplasty in the complex treatment of the female patient with acute fast progressing drug resistant pulmonary tuberculosis with the complication of chronic pleural empyema with bronchial pleural fistula. Probl. Klin. Med., 2007, no. 4, pp. 107-112. (In Russ.)
5. Levin А.V., Tseymakh E.А., Zimonin P.E. et al. Use of valve bronchial block in patients with pulmonary hemorrhage in disseminated pulmonary tuberculosis. Grudn. i Serdechn.-Sosud. Khirurgiya, 2005, no. 3, pp. 39-43. (In Russ.)
6. Lovacheva O.V., Shumskaya I.Yu., Turovtseva Yu.V. et al. New opportunities of non-surgery treatment of fibrous cavernous pulmonary tuberculosis patients. Tub., 2013, no. 4, pp. 12-18. (In Russ.)
7. Nikolaeva O.B. Kollapsoterapevticheskie metody v kompleksnom lechenii bol’nykh infil’trativnym tuberkulezom legkikh v faze raspada s lekarstvennoy ustoychivost’yu vozbuditelya. Diss. kand. med. nauk. [Collapse therapy in the treatment of infiltrate destructive pulmonary tuberculosis patients with multiple drug resistant mycobacteria. Cand. Diss.]. Barnaul, 2012.
8. Sklyuev S.V., Petrenko T.I. Efficiency of using endobronchial valve in the complex treatment of treatment failures with destructive infiltrate pulmonary tuberculosis. Tub., 2013, no. 7, pp. 11-15. (In Russ.)
9. Yaichnikov V.P. Primenenie klapannoy bronkhoblokatsii v kompleksnom lechenii bol’nykh s infil’trativnym destruktivnym tuberkulezom legkikh. Diss. kand. med. nauk. [Use of endobronchial valve in the complex treatment of infiltrative destructive pulmonary tuberculosis patients. Cand. Diss.]. Barnaul, 2011.
Review
For citations:
Sklyuev S.V., Levin A.V., Tseymakh E.A. Specific tissue reactions after treatment with the valve bronchial block as per the data of pathomorphological examination of the resected material. Tuberculosis and Lung Diseases. 2015;(11):28-31. (In Russ.)
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