Indications for Extrapleural Thoracoplasty in HIV-Positive Patients with Destructive Pulmonary Tuberculosis

Q4 Medicine Tuberculosis and Lung Diseases Pub Date : 2024-05-01 DOI:10.58838/2075-1230-2024-102-2-44-51

G. Yakovlev, P. Ionov, D. V. Alkaz, T. Basek, G. Boyarkin, A. Elkin

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Abstract

The objective: to specify indications for extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and comorbid HIV infection.Subjects and Methods. Results of surgical treatment of 78 destructive pulmonary tuberculosis patients were studied. Those patients underwent extrapleural thoracoplasty in Pulmonary Tuberculosis Surgery Unit of City Tuberculosis Hospital No. 2 in St. Petersburg from 2009 to 2022.Results. The article clarifies the indications for extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and comorbid HIV infection, in whom contraindications to pulmonary resections have been identified. Medical records of 78 patients with destructive tuberculosis were retrospectively analyzed, the patients were divided into two groups according to their HIV status. It has been established that with combination of adequate preoperative preparation and postoperative management, rational anti-tuberculosis chemotherapy and ART, extrapleural thoracoplasty for HIV-positive patients can be performed in accordance with general practice.

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破坏性肺结核 HIV 阳性患者胸膜外胸廓成形术的适应症

目的：明确破坏性肺结核合并艾滋病病毒感染患者胸膜外胸廓成形术的适应症。研究了 78 例破坏性肺结核患者的手术治疗结果。这些患者于 2009 年至 2022 年期间在圣彼得堡市第二结核病医院肺结核外科接受了胸膜外胸廓成形术。文章明确了胸膜外胸廓成形术在破坏性肺结核和合并艾滋病病毒感染患者中的适应症，这些患者已被确定为肺切除术的禁忌症患者。研究人员对 78 名破坏性肺结核患者的病历进行了回顾性分析，并根据患者的艾滋病病毒感染状况将其分为两组。结果表明，结合充分的术前准备和术后管理、合理的抗结核化疗和抗逆转录病毒疗法，HIV 阳性患者的胸膜外胸廓成形术可以按照一般惯例进行。

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来源期刊

Tuberculosis and Lung Diseases Medicine-Pulmonary and Respiratory Medicine

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： The Journal is aimed for professional development of researchers, doctors, teachers of medical universities and training institutions. The Journal focuses on the presentation of results of research, case studies, issues of differential diagnostics and treatment in the phthisiologist’s practice, national programs on tuberculosis control in the Russian Federation, WHO strategies, discussion of prevention issues to stop transmission of TB/HIVco-infection, and extrapulmonary tuberculosis.