Applications under Сontrol Minimally Invasive Surgery Computed Tomography in Patients with Suppurative Lung Disease


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Abstract

Relevance
Early diagnosis of suppurative lung disease largely prejudges the outcome of the treatment and prognosis. The severity of
the patients, the need for urgent remedial measures the difficulty of the survey require constant improvement of methods of diagnosis
and treatment. The most common method of diagnosis of suppurative lung disease is a chest X-ray. According to specialists, this
technique allows diagnosing the pathology of the chest cavity, but to establish the prevalence and stage of the inflammatory process
on the basis of the results is not possible. In recent years, considerable attention in the literature on the use of magnetic resonance
imaging (MRI) in the diagnosis of suppurative lung disease. However, the question remains about the duration of investigation,
the difficulties in monitoring the condition of the patient, particularly when the ventilator, the need to synchronize breathing and
heart activity. Therefore, MRI when suppurative lung disease is difficult. Furthermore, the presence of metallic foreign bodies is a
contraindication to MRI.
The purpose of the study
The analysis of the effectiveness of the use of minimally invasive surgery under the supervision of computed
tomography in patients with suppurative lung disease.
Materials and methods
On the basis of the scan data were refined indications for intervention and determined safe access to
the pathological focus. Then produced a gradual introduction to the pathological focus percutaneous drainage with further wall
material for cytological and bacteriological examination.
Results and discussion
The widespread introduction into the everyday practice of computed tomography allowed to solve a number
f therapeutic and diagnostic problems in a surgical hospital. Computed tomography to date has significantly speed up the search
suppurative lung disease, to specify the location of purulent process and its relation to other anatomical structures. Encourage more
early activation and shorten hospital stay.
Conclusion
A reduction in the risk of postoperative complications, the absence of pain, revealed earlier activation and rehabilitation
of patients.
Key words
computed tomography, puncture, drainage, suppurative lung disease, intervention, treatment


 

About the authors

Voronezh State Medical University N.N. Burdenko, Hospital Surgery Department, Voronezh, 10 Student St.,
Voronezh, 394036, Russia

Author for correspondence.
Email: admin@vestnik-surgery.com
д.м.н., проф., зав. кафедрой госпитальной хирургии Воронежского 

государственного медицинского университета им. Н.Н. Бурденко

Voronezh State Medical University N.N. Burdenko, Hospital Surgery Department, Voronezh, 10 Student St.,
Voronezh, 394036, Russia

Email: admin@vestnik-surgery.com
к.м.н., ассистент кафедры госпитальной хирургии Воронежского государственного медицинского университета им. Н.Н. Бурденко

Voronezh State Medical University N.N. Burdenko, Hospital Surgery Department, Voronezh, 10 Student St.,
Voronezh, 394036, Russia

Email: admin@vestnik-surgery.com
аспирант кафедры госпитальной хирургии Воронежского государственного медицинского университета им. Н.Н. Бурденко

References

  1. Bisenkov L.N. Chuprina A.P, Salamatov A.V. Ostrye
  2. infektsionnye destruktsii legkikh. Torakal'naya khirurgiya:
  3. Rukovodstvo dlya vrachey [Acute infectious lung destruction.
  4. Thoracic Surgery: A Guide for Physicians]. 2004; 341-383 (in
  5. Russ.).
  6. Barkov V.A. Nechaev V.I., Hovanov A.V. Differentsial'naya
  7. diagnostika zatyazhnoy pnevmonii, oslozhnennoy gnoynoy
  8. destruktsiey, u bol'nykh s faktorami riska. Problemy
  9. tuberkuleza i bolezney legkikh [The differential diagnosis of
  10. chronic pneumonia complicated by purulent destruction in
  11. A.I. Zhdanov et al. Applications under Сontrol Minimally Invasive Surgery Computed Tomography in Patients with Suppurative patients with risk factors. Problems of Tuberculosis and Lung Disease]. 2007; 1: 30-36 (in Russ.).
  12. Kotliarov P.M., Georgiadi S.G. Komp'yuterno-tomograficheskie priznaki diffuznykh zabolevaniy legkikh.
  13. Pul'monologiya [Computed tomographic signs diffuse lung
  14. disease. Pulmonology]. 2004; 3: 103-107 (in Russ.).
  15. Plekhanov A.N., Tsybikov E.H., Amgalan J.I. Sovremennye metody lecheniya ostroy empiemy plevry. Khirurgiya [Modern methods of treatment of acute pleural empyema. Surgery]. 2008; 3: 70-73 (in Russ.).
  16. Shoulder V.V., Fatih R.G. Grudnaya khirurgiya. Problemy.
  17. Resheniya [Thoracic surgery. Problems. Solutions]. 2003;
  18. (in Russ.).
  19. Sigal E.I. Khamidullin R.G., Burmistrov M.V. Blizhayshie i
  20. otdalennye rezul'taty desyatiletnego opyta videotorakoskopii
  21. v torakal'noy khirurgii. Endoskopicheskaya torakal'naya
  22. khirurgiya: materialy nauchno-prakticheskoy konferentsii [Early and late results videothoracoscopy decade of experience in thoracic surgery. Endoscopic thoracic
  23. surgery: Proceedings of the conference]. 2006; 19-25 (in
  24. Russ.).
  25. Shoikhet Y.N., Roschev I.P., Ostryy abstsess legkogo bez
  26. sekvestratsii. Problemy klinicheskoy meditsiny [Acute lung abscess without sequestration. The problems of clinical
  27. medicine]. 2006; 4: 58-64 (in Russ.).
  28. Prioritetnaya spravka No2014141840/14(067765) Rossiyskaya Federatsiya, MPK A61V 19/00(2006.01). Stereotaksicheskiy derzhatel' meditsinskogo instrumenta [Priority certificate No2014141840/14 (067 765), the Russian Federation, the IPC A61V 19/00 (2006.01). Stereotaksichesky medical instrument holder]. AI Zhdanov, Evteev VV, Chernykh MA Krivonosov DV, Krivonosov SV, RU. publ. 10.16.2014 (in Russ.)
  29. Lin F.C., Chou C.W., Chang S.C. Differentiating yopneumothorax and peripheral lung abscess: chest ultrasonography. Am. J. Med. Sei. 2004; 6: 330 - 335.
  30. Ott S. R. Diagnosis and therapy of aspiration pneumonia. Dtsch. Med. Wochenschr. 2006; 12: 624 - 628.
  31. Lin Y.C., Tu C.Y., Chen W. An urgent problem of aerobic gram-negative pathogen infection in complicated
  32. parapneumonic effusions or empyemas. Intern. Med. 2007; 15: 1173-1178.
  33. Cheng G.A., Vintch J.R. Retrospective analysis of the management of parapneumonic empyemas in a county
  34. teaching facility. 2006; 1: 216.
  35. Eryigit H.A., Orki A., Kosar A. The role of video-assisted thoracoscopic surgery in the treatment of pleural empyema. Tuberk. Toraks. 2007; 1: 71-76.

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