Comparative assessment of nasotracheobronchial drainage and conservative bronchoscopic debridement in the treatment of patients with lung abscesses complicated by bronchial fistula
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Author:
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BAKODIR B.SAFOYEV, AZIZ Q.KHASANOV, NODIR R.KARSHIYEV
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Abstract:
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Examined and treated 106 patients with lung abscesses complicated by bronchial fistula of various etiology, who were treated in the purulent surgical department of the clinical base of Bukhara State Medical Institute in the period from 2010 to 2019 were analyzed. All patients depending on the method of treatment were divided into 2 groups: First group that was named as comparison group and the second one was the main group. The control group I consisted of 68 (64.1%) patients who underwent conservative treatment with sanitation bronchoscopy. The II - main group included 38 (35.9%) patients who underwent nasotracheobronchial drainage of a purulent focus of the lung with daily sanitation with antibacterial and thinning drugs. Our research revealed: - Long-term bronchoscopic examination has its drawbacks, such as: complications in the form of tracheobronchitis up to 23.52%, hoarseness up to 2.94% of cases. Nasotracheobronchial drainage of purulent lung cavities is an effective method of treatment and does not have the complications that occur with prolonged bronchoscopic lung debridement in the treatment of purulent lung disease with complicated bronchial fistula.
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Keyword:
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Nasotracheobronchial drainage, bronchoscopic debridement, lung abscess.
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EOI:
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-
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DOI:
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https://doi.org/10.31838/ijpr/2021.13.01.132
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