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ACADEMICIA: An International Multidisciplinary Research Journal
Year : 2020, Volume : 10, Issue : 11
First page : ( 2231) Last page : ( 2238)
Online ISSN : 2249-7137.
Article DOI : 10.5958/2249-7137.2020.01577.3

The comparative assessment of the effectiveness of the use of transtracheal drainage and bronchoscopic debridement in the treatment of patients with lung abscesses complicated by bronchial fistula

Safoev B.B., Khasanov A.K., Karshiyev N.R., Mirsoliev Sh. G.

Bukhara State Medical Institute, Uzbekistan

Abstract

The results of studies of 92 patients with lung abscesses complicated by bronchial fistula of various etiologies, who were treated in the purulent surgical department of the clinical base of Bukhara State Medical Institute in the period of 2010-2019, were analyzed. All patients, depending on the method of treatment, were divided into 2 groups: I -comparative group and II -main. The control group I consisted of 68 (73.9%) patients who received traditional conservative methods of treatment with the use of daily endobronchial sanitation of the bronchial lumen. In the 2nd main group included 24 (26.1%) patients who, in addition to conservative treatment, underwent transtrachial drainage of a purulent focus with sanitation with antibacterial and thinning drugs. The analysis of the obtained results revealed that although transtrachial drainage of the purulent focus of the lung is a more effective method than the conservative method of treatment with the use of bronchoscopic lung debridement and has its drawbacks in the form of complications such as: in the form of suppuration of soft tissues in the area of microtrachestomyup to 12.5%, acute tracheobronchitis 20.8%, bronchospasm 8.3%, in 16.7% cases, there is an independent extradition of drainage in the bronchus, loss of microdrainage from the purulent cavity 8.3%.

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Keywords

Transtracheal Drainage, Bronchoscopic Debridement, Lung Abscess.

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