Summary. Goal — optimization of treatment of patients with trophic ulcers
Materials and methods: data on the treatment of trophic ulcers of the lower extremities in 66 patients by vacuum extraction (VE) are presented.
Results and discussion: the effectiveness of the method for the treatment of complications of varicose disease, reducing the healing time of wounds compared to traditional methods of treatment is shown. The advantages and features of the method are described
Conclusions: The main goals of VE in CVI are to stop or reduce the clinical manifestations of CVI, to heal a trophic ulcer, and to prepare for surgery. In some patients, radical surgery cannot be performed. Therefore, periodic courses of VE is the main method of treatment for them. The combination of VE and traditional methods can improve the quality of life and reduce the time of preparing the patient for surgery.
Summary. Aim. To study the characteristics of gastroesophageal reflux using pH-impedance monitoring.
Materials and methods. pH-impedance monitoring was carried out in 38 patients with GERD symptoms without endoscopic signs and 22 patients with endoscopic signs of reflux esophagitis and reflux gastritis.
Results. All studied parameters confirmed the physiological nature of GER in 38 patients of group I and 9 patients of group II; the presence of pathological GER and impaired gastroesophageal antireflux barrier function in 13 patients of group II.
Conclusions. The conducted pH-impedance monitoring made it possible to determine not only acidic GER and superrefluxes, but also weakly acidic and weakly alkaline ones, most accurately obtain quantitative and qualitative characteristics of GER, as well as establish a violation of the chemical and volumetric clearance of the esophagus. The data obtained can be used when choosing the method of antireflux surgery in patients with GERD.
Summary. The purpose of the study. Optimization of the treatment of PNP with the defeat of the PF in DM.
Materials and methods. Results of treatment of 138 patients with PNP on the background of DM using ozone therapy, ultrasonic cavitation and laser irradiation of the wound.
Results and discussion. Attention is drawn to the problems of the course of the disease and the complexity of complex therapy in the initial background pathology.
Conclusions. The operational principle of “step-by-step” is justified in the case of PNP against the background of DM.
Ozone therapy suppresses anaerobic flora in the treatment of PNP. Ultrasonic cavitation is an effective method of cleaning tissues in PNP. The use of laser photoinduction is an effective method of stimulating the reparative processes of damaged tissues. Methods of ultrasonic cavitation, ozone and laser therapy allow to achieve accelerated cleaning of the PNP substrate with little trauma.
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