Some pathological conditions accompanied by dynamic monitoring of the state of the pleura and subpleural lung tissue. For the most accurate diagnosis and selection of an adequate method of treatment, it is necessary to assess the morphofunctional state of the pleura and subpleural tissue, as well as monitoring the effectiveness of therapeutic and preventive measures, which necessitates intravital methods of their visualization. In case of hydro- and / or pneumothorax, the addition of puncture and drainage of the pleural cavity with optical coherence tomography of the pleura and subpleural lung tissue without lung injury makes it possible to diagnose thickening of the visceral pleura; cellularity is disturbed or absent, roundness or flattening of the shape of the alveolar cavities is revealed, up to the complete absence of visible alveolar cavities, the heterogeneity of their contents, the thickening of the interalveolar septa is determined initially and during treatment.
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