WAYS TO IMPROVE THE OUTCOMES OF SURGICAL TREATMENT OF PULMONARY ECHINOCOCCOSIS AND PREVENTION OF RECURRENCE
Abstract
Resume. Relevance. One of the most common causes of parasitic pulmonary invasions encountered in surgical practice is echinococcosis. The Republic of Uzbekistan is also considered an endemic region for this disease. Aim of the study was to improve the effectiveness of treatment in patients with pulmonary echinococcosis through the use of albendazole as a local germicidal agent. Materials and Methods. The clinical study included 87 patients diagnosed with pulmonary echinococcosis. Results. The comparison group consisted of 45 patients with pulmonary echinococcosis who received albendazole according to the standard treatment regimen. The main group included 42 patients with pulmonary echinococcosis who, in the postoperative period, received oral albendazole at a dose of 5 mg/kg per day in combination with local antiparasitic (contact) treatment of the residual cavity walls using the developed technique. Conclusion. The combined use of low-dose systemic albendazole with its topical application as a local germicidal agent according to the proposed method demonstrated a pronounced anti-recurrent effect in the treatment of pulmonary echinococcosis. Keywords: pulmonary echinococcosis, albendazole, local germicidal agent, recurrence, prevention.