Objective: to systematize data on anatomical and morphological characteristics of ligaments associated with the sacroiliac joint. Material of the study. Publications containing information on the anatomical and morphological characteristics of the ligaments associated with the sacroiliac joint found in the PubMed resources and the information portal eLIBRARY.RU. Results. We singled out the most important anatomical and morphological features of the ligaments associated with the sacroiliac joint that are relevant in the diagnosis of the causes of lower back pain. Conclusion. To clarify the extent of the relation of the changes occurring in the ligaments associated with the sacroiliac joint to the lower back pain it is advisable to carry on the study on their nature.
Objective: to determine the prospects of ultrasound imaging in the assessment of expressiveness of dystrophic changes of the sacrotuberous ligament. Material. Sacrotuberous ligaments from 23 corpses (the age of the dead was 29-76): 13 men (the average age was 69.2 ± 5.8) and 10 women (the average age was 57.8 ± 11.9). Results. The criteria making it possible to assess mild, moderate, and expressed dystrophic changes have been picked out. Conclusion. We have drawn the conclusion that it is possible not only to detect injuries of the sacrotuberous ligament, but also to give a more detailed assessment of the expressiveness of changes revealed in ultrasound imaging.
Objective: to perform a comparative analysis of postoperative complications and hospital stay terms of in-patients with malignant liver tumors after atypical liver resection and locoregional radiofrequency ablation of liver metastases.Material and methods. We analyzed the data of 295 patients with malignant liver tumors who had undergone surgical resection or radiofrequency ablation of tumor nodes.Results. We have systemized the direct results of locoregional radiofrequency ablation under sonographic control and liver resection. 45 patients (17.8 %) after liver resection and 1 (2.3 %) patient after radiofrequency ablation developed grade III–IV complications according to the Clavien-Dindo classification. The frequency of complications is statistically significantly lower after radiofrequency ablation. The duration of hospital stay after radiofrequency ablation therapy was 4.5 ± 2.5 days. After surgical liver resection, patients stayed in hospital for 10.7 ± 2.3 days.Conclusion. Locoregional therapy provides a statistically significant reduction in the incidence of complications and reduces the duration of hospital stay compared to liver surgery.
Objective: to evaluate the interrelations of the body mass index with data that characterize severity of dystrophic changes of long dorsal sacroiliac and iliolumbar ligaments. Subject of research. Long dorsal sacroiliac and iliolumbar ligaments from 50 corpses (aged 25 to 83): 33 males (the average age was 63 ± 9) and 17 females (the average age was 63 ± 9.8). Results. The interconnection of the parameter characterizing the evidence of the dystrophic changes of lumbar-iliac and posterior iliac ligaments long with the body mass index has been determined. Conclusion. A statistically significant (moderate and high) correlation between the body mass index and the evidence of the dystrophic changes of lumbar-iliac and rear long iliac ligaments is found only when the value of the index exceeds the level of 30.
Objective: to assess the reproducibility of sonographic and histologic determination of the severity of dystrophic changes in iliolumbar ligament in different age periods. Materials and methods. Iliolumbar ligaments from 31 corpses (at the age from 25 till 90): of them, 20 men (middle age 60.2 ± 9.6) and 11 women (middle age 66 ± 9.4). Results. The criteria making it possible to differentiate moderate and expressed dystrophic changes have been sorted out and the reproducible technique has been defined. Conclusion. The proposed method of sonographic and histologic assessment of severity of the dystrophic changes of iliolumbar ligament has a good reproducibility and can be recommended to be used in practical work.
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