RT Journal Article
SR Electronic
T1 The role of polypositional CT in detecting adhesive process in the pleural cavity of TB patients under artificial pneumothorax (AP)
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P659
VO 40
IS Suppl 56
A1 Rasul Amansakhedov
A1 Andrei Perfiliev
A1 Atadjan Ergeshov
A1 Olga Demikhova
YR 2012
UL http://erj.ersjournals.com/content/40/Suppl_56/P659.abstract
AB We studied 54 patients with different forms of destructive pulmonary TB, which received artificial pneumothorax (AP) during 5.5 (±1,5) months. Out of them 54.8% had infiltrative, 24.0% cavitary, 16.2% fibrocavitary, and 4.8% disseminated pulmonary TB. Sputum positive TB was established in 83.6% cases. Adhesive process in the pleural cavity was detected using polypositional computed tomography (CT). We developed the algorithm for radiographic monitoring of AP and detecting adhesive process in the pleural cavity. We established pleural adhesion in 70.3% cases; thoracocaustic was performed in 52.6% cases, with 100.0% effectiveness of AP. In 47.4% cases thoracocaustic was not administered to the patients with adhesive process; out of them 55.5% had effective AP, 16.6% – partially effective AP, and 27.9% – ineffective AP. Thus, polypositional CT demonstrated effectiveness in detecting adhesive process in the pleural cavity of TB patients.