| Popis: |
Aims: Disseminated pulmonary diseases to date remains difficult to diagnose the problem. Material and methods : This retrospective clinical study conducted on 258 patients (132 female) between 2006 and 2015. Median age was 43 years (range, 17-75 years). Pulmonary dissemination was accompanied intrachest lymphadenopathy (12), spontaneous pneumothorax (3), pleural effusion (7). Incisived lung biopsy was made at 77 patients, stapler biopsy – 179 and pleura biopsy - 72. The median operative time and intraoperative bleeding were 21,5 min (range 5-105) and 7,4 ml (2-70), respectively. Results: At complex inspection of patients following diagnoses have been established: sarcoidosis (124), disseminated pulmonary tuberculosis (33), pneumoconiosis (8), alveolitis (17), interstitialis pneumonitis (35), pulmonary canceromatosis (13), chronic obstructive diseases of a lung (7), visceral pulmonary defeat at system diseases (2), histiocytosis X (6), diseases of accumulation (2), leiomyomatosis (2), pulmonary candidiasis (1), sarcoidosis and tuberculosis (1), пpочие (7). Additional intervention (diagnostic thoracotomy) was required after videothoracoscopy with incisived lung biopsy which has changed the diagnosis. Thus diagnostic efficiency videothoracoscopy with incisived lung biopsy has made 98,7 %, but stapler biopsy – 99,4%. Complications it was observed on 6(2,3%) patients. Conclusions: 1. Surgical methods keep the value at the final stage of diagnostics disseminated pulmonary diseases. 2. Development endoscopic videoequipment and linear staplers allows to establish authentically the diagnosis at disseminated pulmonary diseases. |
