51 -3 (89) 2026 - Saparov M.M. - MODERN SURGICAL STRATEGY FOR THE TREATMENT OF COMBINED SPINAL AND PULMONARY TUBERCULOSIS

MODERN SURGICAL STRATEGY FOR THE TREATMENT OF COMBINED SPINAL AND PULMONARY TUBERCULOSIS

Saparov M.M. - Republican specialized phthisiatry and pulmonology scientific and practical medical center

Resume

The study was based on the analysis of 86 patients with spinal tuberculosis combined with pulmonary tuberculosis who received treatment in the Department of Surgical Treatment of Osteoarticular Tuberculosis at the clinic of the Republican Specialized Scientific and Practical Medical Center of Phthisiology and Pulmonology of the Ministry of Health of the Republic of Uzbekistan (RSSPMCP&P) during 2015–2024. The control group consisted of 54 patients with spinal tuberculosis without pulmonary tuberculosis involvement. Combined spinal and pulmonary tuberculosis is characterized by a severe clinical course with pronounced dysfunction of vital organs and systems. Extensive spinal involvement with the formation of paravertebral abscesses was detected in 89.3% of patients, while spinal cord disorders of varying severity were diagnosed in 67.4% of cases. Active pulmonary tuberculosis was identified in 77.9 ± 4.2% of patients with spinal tuberculosis; pulmonary tissue destruction was observed in 31.4% of cases, and bacterial excretion (MBT+) was registered in 33.7% of patients, indicating a high activity of the specific pathological process. Comprehensive treatment, including rational antibacterial therapy, pathogenetic management, and early surgical intervention for spinal tuberculosis combined with pulmonary tuberculosis, ensured clinical cure or stable stabilization of the specific process in 69.5% of cases within one year after the inpatient stage of treatment.

Keywords: spinal tuberculosis, pulmonary tuberculosis, combined forms, treatment.

First page

318

Last page

326

For citation:Saparov M.M. - MODERN SURGICAL STRATEGY FOR THE TREATMENT OF COMBINED SPINAL AND PULMONARY TUBERCULOSIS//New Day in Medicine 3(89)2026 318-326 https://newdayworldmedicine.com/en/new_day_medicine/3-89-2026

List of References

  1. Абдуллаев Р, Комиссарова О, Герасимов Л. Системный воспалительный ответ у больных туберкулезом и ВИЧ-инфекцией. Врач. 2017;(11):52-55. 2. Аксенова ВА, Клевно НИ, Моисеева НН. Особенности туберкулеза у детей в XXI веке, достижения и перспективы в области профилактики и диагностики. Лечащий врач. 2017;(2):58-62.
  2. Назиров ПХ, Усмонов ИХ, Сапаров ММ. Клиническая оценка дыхательных расстройств при сочетанном течении туберкулёза позвоночника и лёгких. Вестник фундаментальной и клинической медицины. 2025;5(19):666-672.
  3. Назиров ПХ, Усмонов ИХ, Сапаров ММ. Современное состояние сочетанного течения туберкулёзного спондилита и туберкулёза лёгких (обзор литературы). Вестник фундаментальной и клинической медицины. 2025;5(19):615-631.
  4. Парпиева НН, Усмонов ИХ, Кобилов НЮ, Жумаев МФ. Особенности диагностики и лечения при генерализированных формах туберкулёза. Новый день в медицине. 2020;(2):424-428.
  5. Усмонов ИХ. Разработка методов хирургического лечения при туберкулёзных спондилитах с использованием современных технологий [диссертация]. Ташкент; 2019. С.16-42.
  6. Usmonov I, Shukurov U. Features of the clinical course, the state of diagnosis and treatment of HIV-associated pulmonary tuberculosis in modern conditions: literature review. Annals of the Romanian Society for Cell Biology. 2021;25(4):1809-1828.
  7. Khaydarovich UI, Khodgamovich NP. Technique of use of titanium mesh cylinder of exemplary cage tubercular spondylitis. European Science Review. 2018;(9-10-2):178-184.
  8. Usmonov IK, Jumaev MF. Clinical course and modern diagnosis of resistant forms of pulmonary tuberculosis. American Journal of Social and Humanitarian Research. 2022;3:250-260.

    file

    download