113 -9 (71) 2024 - Nazarov N.N., Madazimov M.M. - VIDEO-THORACOSCOPY AND DIAGNOSTICS I DETERMINATION OF FURTHER TACTICS OF PLEURITIS OF UNCLEAR ETIOLOGY III

VIDEO-THORACOSCOPY AND DIAGNOSTICS I DETERMINATION OF FURTHER TACTICS OF PLEURITIS OF UNCLEAR ETIOLOGY III

Nazarov N.N. - Andijan State Medical Institute of Uzbekistan, Clinic “FANOMED” Uzbekistan

Madazimov M.M. - Andijan State Medical Institute of Uzbekistan

Pakirdinov A.S. - Andijan State Medical Institute of Uzbekistan

Turgunboev A.A. - Andijan State Medical Institute of Uzbekistan

Resume

An analysis of 144 patients with pleural effusions of various etiologies was carried out. The patients were conditionally divided into two groups, a comparison group - 92 patients, and a main group - 52. To establish a diagnosis at the morphological level and eliminate pleural fluid exudation, a video thoracoscopic study with intraoperative combined pleurodesis was proposed. Using videothoracoscopy, the final diagnosis was established in 98% of cases, the effectiveness of combined intrapleural pleurodesis was 89.6%. The specificity for carcinomatous pleurisy was 97%, sensitivity was 98%, which proves the high effectiveness of video thoracoscopy in diagnosis and determining further treatment tactics in patients with pleural effusions.

Key words: VTS video-assisted thoracoscopy, chronic renal failure-chronic renal failure, liver cirrhosis, ultrasound examination, MSCT.

First page

632

Last page

639

For citation:Nazarov N.N., Madazimov M.M., Pakirdinov A.S., Turgunboev A.A. - VIDEO-THORACOSCOPY AND DIAGNOSTICS I DETERMINATION OF FURTHER TACTICS OF PLEURITIS OF UNCLEAR ETIOLOGY III//New Day in Medicine 9(71)2024 632-639 https://newdayworldmedicine.com/en/new_day_medicine/9-71-2024

List of References

1. Авдеев С.Н. Плевральные выпоты в интенсивной терапии. //Consilium Medicum. Хирургия. 2009;2:16-22.
2. Волобуев А.В. Видеоторакоскопия в диагностике опухолевых заболеваний легких и плевры: дис. канд. мед. наук: 14.00.14 / Андрей Владимирович Волобуев – М., 2005; 108 с
3. Григорук, О. Г. Дифференциальная цитологическая диагностика плевритов. /О.Г. Григорук, А.Ф. Лазарев, В.Н. Богатырев. Барнаул: ОАО ИПП «Алтай», 2012; 254 с
4. Дужий, И.Д. Клиническая плеврология. К.: Здоров’я, 2000; 382 c.
5. Иванов О. В. «Диагностика и лечение опухолевых экссудативных плевритов в амбулаторных условиях» диссертация. автореф. дис. канд. мед. Наук / Санкт-Петербург 2019; 94 с.
6. Королева И.М. Плевриты: трудности диагностики. //Справочник поликлинического врача. 2008;13:4-9.
7. Переводчикова Н.И. Опухолевые плевриты: диагностика и выбор терапевтической тактики. / Н.И.Переводчикова, Т.Р.Алексеева // Международный медицинский журнал. 2003;4:88-93.
8. Чайка О.В. Видеоторакоскопия в диагностике и лечении опухолевых экссудативных плевритов: автореф. дис. канд. мед. наук: 14.01.12 Чайка Оксана Васильевна. – СПб, 2011; 25 с.
9. Efficacy of sonographi cand biological pleuro desis in dicators of malignant pleural effusion (SIMPLE): proto colofar and omised controlledtrial I. Psallidas, H.E.G. Piotrowska, A. Yousufetal. //BMJOpenRespiratory Research. 2017;4(1):e000225.
10. Meadiastinal pancreatic pseudocysts / К. Dąbkowski, А. Białek, М. Kukla et al. //Clinical Endoscopy. 2017;50(1):76-80.
11. Murthy V. Medical thoracoscopy and itsevolvingrole in the diagnosis and treatment of pleural disease / V. Murthy, J.L. Bessich //JThoracDis. 2017;9(2):1011-1021.
12. Recommendations of diagnosis and treatment of pleural effusion update / V.V. Garrido, E.C. Viedma, A.F. Villar et al. //Arch Bronconeumol. 2014;50(6):235-49.

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