EFFICACY OF ULTRASONIC DIAGNOSTICS OF PLEURAL TB EMPYEMA
DOI:
https://doi.org/10.11603/1811-2471.2020.v.i2.11325Keywords:
tuberculosis, ultrasound, tuberculous empyema of the pleura, videothoracoscopy, video-assisted surgical resection, open pleurectomy with lung decorticationAbstract
The first effective analysis of early diagnosis of patients with tuberculous pleural empyema with the help of ultrasound examination of the chest is presented. Ultrasound features of staging, localization in the diagnosis of tuberculous pleural empyema depending on sex, age, onset, course and prevalence of suppuration are analyzed.
The aim – to improve the results of ultrasound diagnosis of patients with tuberculous pleural empyema by analyzing the value of standard diagnostic methods.
Material and Methods. A retrospective analysis of 685 cases of tuberculous pleural empyema in patients who received inpatient treatment in the phthisiosurgical department Ternopil Regional TB Dispensary for the last 10 years. All patients underwent the necessary clinical, laboratory and instrumental, including ultrasound, X-ray and immunological methods of examination.
Results. It is established that ultrasound examination has a number of advantages and is a highly informative method of diagnosing pleural suppuration. According to the echoscanning study, the nature of pleural effusion can be predicted.
Conclusions. Only 51.2 % of patients with tuberculous pleural empyema were diagnosed in time, ie at the stage of possible minimally invasive surgical treatment. The greatest diagnostic difficulties occur in patients with localization of pleural empyema in the area of active tuberculous or metatuberculous changes. In 48.7 % of patients, tuberculous empyema was diagnosed at a late stage of the purulent process, which confirms the need for widespread use in the diagnosis of ultrasound.
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