State organization "National Institute of Phthisiology and Pulmonology, named by F. G. Yanovsky of National Academy of Medical Sciences of Ukraine", Kyiv
Background. Morbidity levels of diseases connected with pleural effusion syndrome are increasing both in Ukraine and in the rest of the world. The best practice of verification of the diagnosis – videothoracoscopy, needs improvement for safer and more rational use without the loss of efficiency.
Purpose of the study. Ascertain efficiency of differentiated tactics for the diagnosis of pleural effusion syndrome for videothoracoscopy; to compare morbidity rates of tuberculous pleurisy and other diseases, connected with pleural effusion syndrome in a group of medical workers and workers of other sectors of the economy.
Materials and methods. We analised morbidity levels of pleural effusion syndrome and its ethiology in medical workers and compared them with contingents of workers of other sectors of the economy (industrial, agricultural, commercial and consumer services). This reseach was based on morphological verification by videothoracoscopic biopsy of pleura in 1078 patients, who were treated in our clinic between 2013 and 2015. Videothoracoscopic surgical procedures were performed using our differentiated tactics for planning the surgery, based on the analisis of xray estimation, after creation an artificial pneumothorax. We assessed duration, technical complexity, safety of videothoracoscopy, burden of medicines on patient and a course of the postoperation period.
Results. We found that morbidity rates of diseases, connected with pleural effusion syndrome and the structure of it in the group of medical workers and workers of other sectors of the economy were similar. A differentiated tactics for the diagnosis of pleural effusion syndrome turned to be justified and effective (for medical workers as well). Application of artificial pneumothorax in diagnosis of pleural effusion syndrome is recognized safe and informative.
Key words: syndrome of pleural effusion, videothoracoscopy, tuberculosis, artificial pneumothorax