д.м.н., проф., зав. кафедрой госпитальной хирургии Воронежского
государственного медицинского университета им. Н.Н. Бурденко
к.м.н., ассистент кафедры госпитальной хирургии Воронежского государственного медицинского университета им. Н.Н. Бурденко
аспирант кафедры госпитальной хирургии Воронежского государственного медицинского университета им. Н.Н. Бурденко
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