SURGICAL TREATMENT OF PULMONARY AND EXTRAPULMONARY TUBERCULOSIS

Abstract

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%). Conclusion: 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.