Persons working capacity after pulmonary tuberculosissurgery

Abstract

Objective — to analyze the level of disability and incapacity for workresulting from surgical interven­tions for pulmonary tuberculosis.Materials and methods. The analysis of the results of surgical treatment of 343 patients with pulmonary tuberculosis was performed. The following types of surgical interventions were performed in the patient: lobectomy, segmental resection of the lungs, thoracoplasty, thoracoplasty in combination with resection methods, pleurectomy, pneumonectomy.Results and discussion. Because of the intervention 98 (28.6 %) patients experienced a decrease or loss of capacity to work, followed by the appointment of a disability group. Among them 33 got II, and 65 — III disability groups. After lobectomy, disability was diagnosed in 37 (10.8 %) patients, after segmental lung resection — in 16 (4.7 %), thoracoplasty — in 34 (9.9 %), thoracoplasty with segmental resection or lobectomy — in 2 (0.6 %), pleurectomy — 2 (0.6 %), pneumonectomy — 7 (2.0 %) patients. Pneumonectomy has led to disability in 100 % of cases, thoracoplasty — 73.9 %, segmental resection — 21.1 %, lobectomy — 24.5 %, pleurectomy — 9.1 %, thoracoplasty in combination with lobectomy or segmental resection — in 4,9 % of cases. After the carried operation 77 (78.5 %) people were not worked, 15 (15.4 %) were worked 6 (6.1 %) were studying.Conclusions. As a result of surgery treatment for pulmonary tuberculosis, a total loss of capacity to work with the appointment of the II group of disability was 9.6 % of operated, partial loss of capacity to work (group III) — in 19.0 % of patients. Simultaneous surgical interventions give better results than resection as regards the rehabilitation.