Persons working capacity after pulmonary tuberculosis surgery
Journal Title: Туберкульоз, легеневі хвороби, ВІЛ-інфекція - Year 2018, Vol 0, Issue 3
Abstract
Objective — to analyze the level of disability and incapacity for work resulting from surgical interventions for pulmonary tuberculosis. Materials and methods. The analysis of the results of surgical treatment of 343 patients with pulmonary tuberculosis was performed. The following types of surgical interventions were performed in the patient: lobectomy, segmental resection of the lungs, thoracoplasty, thoracoplasty in combination with resection methods, pleurectomy, pneumonectomy. Results and discussion. Because of the intervention 98 (28.6 %) patients experienced a decrease or loss of capacity to work, followed by the appointment of a disability group. Among them 33 got II, and 65 — III disability groups. After lobectomy, disability was diagnosed in 37 (10.8 %) patients, after segmental lung resection — in 16 (4.7 %), thoracoplasty — in 34 (9.9 %), thoracoplasty with segmental resection or lobectomy — in 2 (0.6 %), pleurectomy — 2 (0.6 %), pneumonectomy — 7 (2.0 %) patients. Pneumonectomy has led to disability in 100 % of cases, thoracoplasty — 73.9 %, segmental resection — 21.1 %, lobectomy — 24.5 %, pleurectomy — 9.1 %, thoracoplasty in combination with lobectomy or segmental resection — in 4,9 % of cases. After the carried operation 77 (78.5 %) people were not worked, 15 (15.4 %) were worked 6 (6.1 %) were studying. Conclusions. As a result of surgery treatment for pulmonary tuberculosis, a total loss of capacity to work with the appointment of the II group of disability was 9.6 % of operated, partial loss of capacity to work (group III) — in 19.0 % of patients. Simultaneous surgical interventions give better results than resection as regards the rehabilitation.
Authors and Affiliations
I. D. Duzhiy, О. V. Kravets, V. A. Dmytruk, I. I. Rud
Keywords
Related Articles
- EP ID EP421409
- DOI 10.30978/TB2018-3-53
- Views 95
- Downloads 0
Intraoperative prevention of upper residual pleural cavity in operations on multidrug-resistant pulmonary tuberculosis
Objective — to analyze the results of the application of the developed method for the prevention of apical residual pleural cavity when performing lung resection in patients with multidrug-resistant pulmonary tuberculosi...
Clinical case of immunoglobulin G application with сhemo-resistant tuberculosis in combination with HIV-infection with severe immunosuppression
Chemo-resistant tuberculosis in combination with HIV infection is one of the most difficult problems of modern phthisiology. Of particular interest is the contingent of patients with MDR TB/HIV with a level of CD 4 in bl...
Some clinical and epidemiological aspects of survival in patients with HIV infection on the background of antiretroviral therapy
Objective — to analyze the factors that affect the survival of patients with HIV infection in patients receiving antiretroviral therapy (ART). Materials and methods. A retrospective study on the effect of antiretroviral...
Condition of the proteolytic system in patients with tuberculous pleurisy
Recently, extrapulmonary forms of tuberculosis are increasingly common, which are not related to the pulmonary system. The largest proportion of extrapulmonary forms is pleural tuberculosis. This disease in case of delay...
WHO consolidated guidelines on drug-resistant tuberculosis treatment. Part 2
_