[Results of surgical treatment in patients with pulmonary tuberculosis]

The results of examination and treatment were analyzed in 647 patients operated on for pulmonary tuberculoma (PT) in 1990-2004. A pathological lung process was revealed in 47.0 +/- 0.3% cases on referral and in 53.0 +/- 0.3% at prophylactic fluorography. There were 157 (24.3 +/- 0.2%) bacteria-isolating patients; of them 39 (24.8 +/- 0.4%) had drug-resistant Mycobacterium tuberculosis. With changes being revealed in the lung, the clinical diagnosis of PT was initially diagnosed in 161 (24.9 +/- 0.2%) patients. Infiltrative pulmonary tuberculosis was diagnosed in most cases (353 patients or 54.6 +/- 0.3%) and transformation of the process to a tuberculoma was noted during further treatment. A total of 647 patients underwent 653 operations. The absolute majority of operations (n = 546 or 83.6 +/- 0.4%) was represented by partial (or economic) lung resections. On pathohistological study, single and multiple tuberculomas were diagnosed in 364 (55.7 +/- 0.3%) and 289 (44.3 +/- 0.3%) patients, respectively. The tuberculomas were in the phase of decay and contamination in 425 (65.1 +/- 65.1 +/- 0.3%) and 311 (47.6 +/- 0.3%) patients, respectively. Postoperative complications were recorded in 36 (5.5 +/- 0.1%) patients. The efficiency of surgical treatment was 99.7% (0.15 +/- 0.02% mortality) and 92.1% in the immediate and postoperative periods, respectively.