Вестник хирургии имени И.И. Грекова (Dec 2018)
Endoscopic technologies in treatment of patients with purulent diseases of lungs and pleura
Abstract
The objective of the study is to evaluate the efficacy of valvular bronchoblocation in the treatment of patients with purulent diseases of the lungs and pleura.Material and methods. 28 patients aged 15 to 66 years with bronchopleural fistulas were treated.Results. Positive dynamics was observed in 23 patients during the first 10–15 hours after blocking (cessation or reduction of air leakage through drainage or into the residual pleural cavity). In four patients, it was possible to stop the purulent-inflammatory process in the pleural cavities and perform thoracomyoplasty with good clinical results. In the presence of an inconsistency of the stump of the bronchus in 4 out of 5 patients, it was possible to effectively close the fistula and eliminate the residual pleural cavity.Conclusion. The use of valvular bronchoblocation in patients with acute purulent diseases of the lungs and the pleura allows achieving good results. The objective of the study is to evaluate the efficacy of valvular bronchoblocation in the treatment of patients with purulent diseases of the lungs and pleura.Material and methods. 28 patients aged 15 to 66 years with bronchopleural fistulas were treated.Results. Positive dynamics was observed in 23 patients during the first 10–15 hours after blocking (cessation or reduction of air leakage through drainage or into the residual pleural cavity). In four patients, it was possible to stop the purulent-inflammatory process in the pleural cavities and perform thoracomyoplasty with good clinical results. In the presence of an inconsistency of the stump of the bronchus in 4 out of 5 patients, it was possible to effectively close the fistula and eliminate the residual pleural cavity.Conclusion. The use of valvular bronchoblocation in patients with acute purulent diseases of the lungs and the pleura allows achieving good results.
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