RESUMO
The diagnosis complex, permitting to reveal the disease cause and the character of the affect faulty and quickly, was elaborated, based on the experience of treatment analysis of more than 600 patients with the upper extremities neurovascular diseases--thoracic inlet syndrome, Raynaud disease and syndrome. Methods of conservative therapy are introduced, indications for operative treatment are substantiated. Application of new methods of restoration-reconstructive interventions permitted to raise the treatment quality, particularly in seriously ill patients with complicated forms of upper extremities neurovascular diseases.
Assuntos
Braço/irrigação sanguínea , Braço/inervação , Doença de Raynaud/diagnóstico , Doença de Raynaud/cirurgia , Síndrome do Desfiladeiro Torácico/diagnóstico , Síndrome do Desfiladeiro Torácico/cirurgia , Diagnóstico Diferencial , Suscetibilidade a Doenças , Humanos , Métodos , Doença de Raynaud/complicações , Síndrome do Desfiladeiro Torácico/complicaçõesRESUMO
The ultrasonic semiotics of different diseases of hepar, pancreas, gallbladder, colon, postoperative complications was elaborated and complicated. New and complicated technological procedures for the complex ultrasonic investigation in before, intra- and postoperative periods were proposed. Minor traumatic transcutaneous intervention procedures under the ultrasonic control for the abdominal cavity and retroperitoneal space abscess, cysts of various localization were used for the first time in domestic practice. The treatment procedures applied ranged from puncture with subtle aspirating needle to one- or two-staged drainage performance. Clinical effectiveness constituted 85.2%.
Assuntos
Ultrassonografia Doppler/tendências , Diagnóstico Diferencial , Humanos , Cuidados Intraoperatórios , Fígado/diagnóstico por imagem , Fígado/cirurgia , Abscesso Hepático/diagnóstico por imagem , Abscesso Hepático/cirurgia , Pancreatopatias/diagnóstico por imagem , Pancreatopatias/cirurgia , SucçãoRESUMO
The authors treated acute arterial obstruction in 190 patients. A complex of diagnostic and therapeutic measures, including the establishment of indications for operative treatment, development of tactics, use of ++physico-technical methods (ultrasound study, rheography, electrocardiography, ++roentgeno-contrast angiography, ultra-violet blood irradiation, electromyostimulation) was developed. A positive result of treatment was obtained in 78.9% of patients, incidence of an amputation performance was 13.7% lethality--12.6%.
Assuntos
Doenças da Aorta/cirurgia , Arteriosclerose Obliterante/cirurgia , Endarterectomia/métodos , Artéria Femoral/cirurgia , Artéria Ilíaca/cirurgia , Perna (Membro)/irrigação sanguínea , Artéria Poplítea/cirurgia , Doença Aguda , Idoso , Aorta Abdominal/cirurgia , Doenças da Aorta/diagnóstico , Arteriosclerose Obliterante/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
A method of local influencing with the extremely high frequency electromagnetic irradiation on the points of acupuncture was used in the complex treatment of 44 patients with obliterative diseases of the vessels of the lower extremities at the age of 34-75 years. Obliterative atherosclerosis was diagnosed in 15 of them, obliterative endarteritis --in 29. A high effectiveness of the method even in late stages of vascular pathology was noted. No complications were observed.
Assuntos
Arteriosclerose Obliterante/radioterapia , Fenômenos Eletromagnéticos , Endarterite/radioterapia , Artéria Femoral/efeitos da radiação , Perna (Membro)/irrigação sanguínea , Micro-Ondas/uso terapêutico , Artéria Poplítea/efeitos da radiação , Adulto , Idoso , Arteriosclerose Obliterante/tratamento farmacológico , Terapia Combinada , Endarterite/tratamento farmacológico , Artéria Femoral/efeitos dos fármacos , Humanos , Pessoa de Meia-Idade , Artéria Poplítea/efeitos dos fármacos , Vasodilatadores/administração & dosagemRESUMO
The complex study of the venous and lymphatic system in 151 patient with different forms of the impairement in venous outflow was carried out. The direct dependence of the state of the lymphatic system of the lower extremities on the state of hemodynamics was noted.
Assuntos
Sistema Linfático , Tromboflebite , Varizes , Humanos , Sistema Linfático/patologia , Linfografia , Flebografia , Síndrome , Tromboflebite/diagnóstico por imagem , Tromboflebite/patologia , Varizes/diagnóstico por imagem , Varizes/patologia , Insuficiência Venosa/diagnóstico por imagem , Insuficiência Venosa/patologiaAssuntos
Torção do Cordão Espermático/diagnóstico , Criança , Humanos , Masculino , UltrassonografiaAssuntos
Doenças da Aorta/cirurgia , Arteriosclerose Obliterante/cirurgia , Angiopatias Diabéticas/cirurgia , Artéria Femoral/cirurgia , Artéria Ilíaca/cirurgia , Adulto , Idoso , Aorta Abdominal/cirurgia , Arteriosclerose Obliterante/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeAssuntos
Pressão Sanguínea , Disfunção Erétil/diagnóstico , Pênis/fisiopatologia , Determinação da Pressão Arterial/métodos , Disfunção Erétil/fisiopatologia , Hemodinâmica , Humanos , Síndrome de Leriche/diagnóstico , Síndrome de Leriche/fisiopatologia , Masculino , Prostatite/diagnóstico , Prostatite/fisiopatologiaRESUMO
A detailed study of 44 patients with the neuro-vascular compression syndrome of thoracic exit has established the diagnostic value of clinical and special methods of diagnosing the disease. The most frequent symptoms were pain in the anterior scalene muscle (ASM) during palpation (96%) and paresthesia in fingers (93%). Rheography, arteriography and phlebography of the upper extremities combined with the positional tests should be resorted to. In case of marked neurological symptoms the data on the nerve block of the ASM are informative. Surgical treatment was undertaken in 35 patients: resection of the I rib in 14 cases (in 4 resection combined with upper thoracic sympathectomy), resection of the ASM in 12, removal of the accessory cervical rib with scalenotomy in 5, decompressive vascular reconstructive operations in 10 patients with vascular complications. Good results were obtained in 32 patients. It is stressed that detailed examinations of patients with vaso-neurological symptoms in the upper extremity are important for timely diagnosis and surgery before the complications supervene.