[The results of combined surgical treatment of thromboangiitis obliterans and critical lower limb ischemia using prolonged epidural analgesia and autohemotherapy with ozone]. / Rezul'taty kombinirovannogo khirurgicheskogo lecheniya bol'nykh obliteriruyushchim trombangiitom i kriticheskoi ishemiei nizhnikh konechnostei.

AIM: to evaluate the results of combined treatment of thromboangiitis obliterans with severe lower limb ischemia using prolonged epidural anaesthesia and autohemotherapy with ozone. MATERIAL AND METHODS: It was analyzed treatment of 125 patients with thromboangiitis obliterans and severe lower limb ischemia. Patients were divided into 2 groups. Control group consisted of 60 patients who underwent conventional perioperative therapy with anticoagulants, antiplatelet agents, dextrans, metabolic drugs, glucocorticoids, angioprotectors, narcotic and non-narcotic analgesics. Study group included 65 patients in whom prolonged epidural anaesthesia and autohemotherapy with ozone was applied additionally. RESULTS: In early postoperative period (up to 30 days) the incidence of secondary lower leg amputation was 10% and 1.5% in both groups respectively (p<0.05). Primary healing after limited foot amputation was achieved in 63.6% and 83.3% in control and stugy groups respectively (p<0.05). Ulcerative defect recovery was observed in 62.2% and 76.2% in both groups respectively (p<0.01). Satisfactory result of treatment was obtained in 61.7% and 80.0% of patients. CONCLUSION: Restoration of magistral and collateral blood flow combined with prolonged epidural anaesthesia and autohemotherapy with ozone improves surgical outcomes and rehabilitation of patients with thromboangiitis obliterans and severe lower limb ischemia.

[Differential-diagnostic features of clinical development of urogenital mycoplasmosis].

Every year urogenital mycoplasma draws the increasing attention, as serious pathological disease of women of reproductive age. During the urogenital mycoplasmosis, parameters of clinical semiology are expressed more significantly than without this disease. Among women with a reproductive pathology on a background of urogenital mycoplasmosis most often took place pathological discharge with a putrefactive smell, irritation, an itch and burning of genitals. Though frequency of such clinical symptoms as the painful sexual intercourse, pain conceded the pathological discharge. It is established, that during urogenital infections among pregnant women and women with a reproductive pathology the wide scale of specific symptoms are peculiar for the mycoplasmosis.

[Pathogenesis and classification of peptic ulcer]. / O patogeneze i klassifikatsii iazvennoi bolezni.

The authors present data on the mechanism of ulcer formation in stomach and duodenum in patients with ulcer disease. The pathogenesis of ulcer disease is complicated and far from being solved. It is suggested that ulcerogenesis of ulcer disease is only a link of the pathogenesis of ulcer disease. Ulcer defect of the gastric and duodenal mucosa is the main morphological sign of ulcer disease but not the complete symptom complex of systemic disorders in the body which along with ulcerogenesis are the essence of ulcer disease. A working classification of ulcer disease is presented.