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دور الجراحة في علاج الإصابات الدرنية الصدرية
Other Title(s)
The role of surgery in treatment of thoracic tuberculosis
Author
Source
Issue
Vol. 29, Issue 1 (30 Jun. 2013), pp.370-381, 12 p.
Publisher
Publication Date
2013-06-30
Country of Publication
Syria
No. of Pages
12
Main Subjects
Abstract EN
Background & Objective: Tuberculosis is still a worldwide disease.
Medical treatment is essential but surgery still has a role in the diagnosis and treatment of several various thoracic tuberculous lesions (both pulmonary and extra-pulmonary).
We aim to present and analyzethe results of surgical treatment of thoracic tuberculous cases in Al-Assad University Hospital in Damascus.
Also, we purpose to determine the indications of thoracoscopic and traditional surgical interventions in this field, and studying their complications.
Material& methods: The study consists of two sections: retrospective (from 1992 till end of 2007), prospective (from 2008 till end of 2010), includes all patients with thoracic tuberculous infections _ pulmonary or extra-pulmonary_diagnosed and treated in the department of thoracic Surgery in Al-Assad University Hospital in Damascus (301 patients), who underwent thoracoscopic and traditional thoracic surgical interventions.
Results: Pulmonary tuberculous cases compose 34.5% vs.
65.5% extra-pulmonary tuberculous cases (pleural 39.6%, mediastinal lymph nodes 12.9%, chest wall 9.3%, pericardial 3.6%).
The proportion of thoracoscopic interventions was 36.5%: majority of them were diagnostic (61.8%), whereas the proportion of traditional thoracic interventions was 63.5%: majority of them were therapeutic (75.9%) to management complicated or neglected or incorrectly treated cases.
The diagnosis of tuberculosis was not confirmed in80% of patients at admittance.
Majority of cases (88.4%) had active tuberculosis vs.
11.6% only had sequelae of previous tuberculous infection.Morbidity rate was 7.3%, and mortality rate was 1.3%.
Conclusion: Surgery still plays an important role in diagnosis and treatment of thoracic tuberculosis _pulmonary or extra-pulmonary_ and management of their complications.
Also, We consider thoracoscopy as a selective mini-invasive option for diagnosing and treatingthese cases
American Psychological Association (APA)
أبو دقة، خلدون. 2013. دور الجراحة في علاج الإصابات الدرنية الصدرية. مجلة جامعة دمشق للعلوم الطبية،مج. 29، ع. 1، ص ص. 370-381.
https://search.emarefa.net/detail/BIM-745043
Modern Language Association (MLA)
أبو دقة، خلدون. دور الجراحة في علاج الإصابات الدرنية الصدرية. مجلة جامعة دمشق للعلوم الطبية مج. 29، ع. 1 (2013)، ص ص. 370-381.
https://search.emarefa.net/detail/BIM-745043
American Medical Association (AMA)
أبو دقة، خلدون. دور الجراحة في علاج الإصابات الدرنية الصدرية. مجلة جامعة دمشق للعلوم الطبية. 2013. مج. 29، ع. 1، ص ص. 370-381.
https://search.emarefa.net/detail/BIM-745043
Data Type
Journal Articles
Language
Arabic
Notes
يتضمن مراجع ببليوجرافية : ص. 381
Record ID
BIM-745043