Ðåôåðàò Ìåòà. Ïîêðàùèòè ä³à´íîñòèêó ³ ë³êóâàííÿ äóðàëüíèõ àð-òåð³îâåíîçíèõ íîðèöü. Ìàòåð³àë ³ ìåòîäè. Îïèñàí³ ðåçóëüòàòè îáñòåaeåííÿ òà ë³êóâàííÿ àðòåð³îâåíîçíî¿ íîðèö³ â ïàçóõó òâåðäî¿ îáîëîíêè ãîëîâíîãî ìîçêó ó 65-ð³÷íî¿ õâîðî¿. Ðåçóëüòàòè é îáãîâîðåííÿ. AE³íêà â³êîì 65 ðîê³â çâåðíóëàñü ç³ ñêàðãàìè íà ïîñò³éíèé øóì ó ë³âîìó âóñ³, ãîëî-âîêðóae³ííÿ, ãîëîâí³ áîë³. Ñêàðãè òðèâàëè ïðîòÿãîì ðîêó. ²ç àíàìíåçó â³äîìî, ùî ø³ñòü ðîê³â òîìó ïàö³ºíòêà ïåðåíåñåëà ãí³éíèé îòèò. ϳä ÷àñ äîïëåðî´ðàô³¿ íà ð³âí³ ë³âî¿ çàãàëüíî¿ ñîííî¿ àðòå𳿠âèÿâëåíèé ñèñòîëîä³àñòî-ë³÷íèé ñêèä êðîâ³. ÌÐÒ-àíã³î´ðàô³÷íå îáñòåaeåííÿ â³çóà-ë³çóâàëî ðåêàíàë³çîâàíèé òðîìáîç ñèãìîâèäíîãî ñèíóñà òà àðòåð³îâåíîçíó íîðèöþ ³ç ïîòèëè÷íî¿ àðòå𳿠äî ïî-ïåðå÷íî¿ ïàçóõè òâåðäî¿ îáîëîíêè ãîëîâíîãî ìîçêó. Íîðèöÿ óñóíóòà øëÿõîì ïåðåâ'ÿçêè çîâí³øíüî¿ ñîííî¿ àð-òå𳿠òà ¿¿ äèñòàëüíèõ ã³ëîê. Âèñíîâîê. Ñèìïòîìàòè÷íà àðòåð³îâåíîçíà íîðèöÿ â ñè-íóñ³ òâåðäî¿ îáîëîíêè ãîëîâíîãî ìîçêó ìîaeå áóòè óñ-ï³øíî óñóíóòà øëÿõîì ïåðåâ'ÿçêè ãîäóþ÷èõ àðòåð³é ó àíàòîì³÷íî ñïðèÿòëèâèõ âèïàäêàõ. Êëþ÷îâ³ ñëîâà: äóðàëüíà àðòåð³îâåíîçíà íîðèöÿ, ÌÐÒ àíã³î´ðàô³ÿ, çîâí³øíÿ ñîííà àðòåð³ÿ Abstract ATRANSVERSE-SIGMOID DURAL ARTERIOVENOUS FISTULA Aim. To improve the diagnostics and treatment of dural arteriovenous fistulae. Material and Methods. The results of investigation and treatment of a dural arteriovenous fistula in a 65-year-old woman are described. Results and Discussions. A 65-year-old woman was admitted with complaints of a continuous ear murmur, dizziness, and headaches. The complaints lasted for one year. From her medical history it was known that she suffered from purulent otitis six years before. A systole-diastolic blood shunt was revealed at the level of her external carotid artery at the Doppler investigation. The MRI detected a recanalized sigmoid dural sinus and a fistula from the occipital artery to the transverse sinus. The fistula was eliminated by ligation of the external carotid artery and its branches. Conclusions. Symptomatic cranial dural arteriovenous
Introduction: Stroke is a big social problem. The expediency of surgical treatment is justified as the chances for complete reconvalescence of the neurological deficiency increase. The aim: To analyze available sources of scientific information on the terms of surgical treatment of patients with acute neurological deficiency. Materials and methods: We analyzed 41 English publications in PubMed for 5 years from 2012 to 2017, with the keywords “urgent carotid endarterectomy” and “early carotid endarterectomy”. Conclusions: In the classic course of stroke or TIA, the best treatment results are obtained when the CEA is performed 3-7 days after the marker event. CEA should be performed as soon as possible to restore brain revascularization and prevent the fatal progression of the neurological deficiency after crescendo TIA or stroke-in-evolution, despite the fact that the risk of complications and disability after surgery may be higher than 6%.
Aim. To identify the differences in arterial trauma (AT) treatment in patients of different ages. Materials and methods. The hospital medical records of 222 patients with AT who were treated in the Lviv Regional Clinical Hospital between 1992 and 2019 were studied. The following patterns were analyzed: age, etiology and mechanism of injury, type of AT, topography, symptoms, type of diagnosis, method of treatment. Patients were divided into seven age groups according to V. Quinn (1994): infants, early childhood, childhood, adolescents, young adults, adults and the elderly. Patients received one of three types of treatment – conservative, surgical or endovascular. Surgical treatment was further divided into simple operations (ligation or suture repair) and complex operations (end-to-end anastomosis or replacement). Results. Conservative treatment was used in 7.66±1.78%, surgical in 90.99±1.92% and endovascular in 1.35±0.77% of clients. The percentage of conservative treatment was higher among the infants (88.9±10.48%) and lower among the young adults (0.9%), as compared to the average. Among the operated patients, simple operations were performed in 48.45±3.59%, and complex operations in 51.55±3.59%. The distribution of different types of simple and complex operations between different age groups was similar. Regression analysis confirmed the influence of age factor, along with the type of AT, on the choice of treatment of patients. In addition, atherosclerotic changes were found in 20% of the adults and 50% of the elderly patients in the AT area. Conclusions. The age category of the patient makes an impact of the treatment method for patients with AT. Differences were related to the children of their first years of life, who were often managed conservatively. In the adults and the elderly, arterial damage may coincide with atherosclerotic changes in the blood vessels
The aim: Develop a classification of post-traumatic soft tissue defects of the hand to standardize the care of this group of patients. And in order to simplify the choice of plastic technic for post-traumatic soft tissue defects of the hand by surgeons and traumatologists. Materials and methods: We analyzed the treatment of 54 patients with hand injury and PTSTD. 14 physicians used AFC in the choice of surgical method for the closure of PTSTDH. The practical application of AFC and effectiveness of providing medical care to patients with PTSTDH was performed on a ten-point scale by anonymous questioning immediately at the time of discharge from the hospital and 6 months after the injury. Results: The results of the practical application analysis of AFC by physicians were as follows: «convenience» – 8.7 ± 0.6; «usefulness» is 9.4 ± 0.2. The results of treatment for 54 patients were: hands «functionality» – 8,3 ± 0,4, «aesthetics» – 7,6 ± 1,7. The results in the retrospective group, in which the AFC was not applied, were as follows: «functionality» – 6.8 ± 0.7, and «aesthetics» – 5.6 ± 1.1 Conclusions: The proposed AFC of PTSTDH help to choose the proper method of surgical management and get good results.
Лімфостаз нижніх кінцівок спостерігають у 1,2–47,0 % після радикального хірургічного лікування злоякісних новоутворів жіночих статевих органів. Мікрохірургічні операційні втручання, такі як лімфовенозні анастомози, трансплантація васкуляризованих лімфатичних вузлів, через мінливість результатів, відсутність переваги одного методу лікування, продовжують залишатися експериментальними та потребують подальшого дослідження. Водночас дермоліпофасціоектомія в поєднанні з післяопераційною компресійною терапією забезпечує задовільні довготривалі результати і є показана на пізніх стадіях лімфедеми, коли відбувається ремоделювання оточуючих тканин у фіброзну та гіпертрофовану підшкірну жирову клітковину. У нашому спостереженні у хворої віком 55 років з вторинною лімфедемою лівої нижньої кінцівки III-IV стадії після комбінованого лікування раку шийки матки T1b2N0M0G2 дермоліпофасціоектомія дозволила значно покращити якість життя та відновити загальну рухову активність пацієнтки. Ключові слова: лімфедема нижніх кінцівок, хірургічне лікування.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.