Khirurgicheskoe Lechenie Ishemicheskoy Gangreny Nizhnikh Konechnostey

Monografiya posvyashchena aktual'noy teme - uluchsheniyu rezul'tatov lecheniya bol'nykh s ishemicheskoy gangrenoy nizhnikh konechnostey razrabotkoy i vnedreniem amputatsii na urovne verkhney treti goleni. Analiziruyutsya rezul'taty lecheniya 79 bol'nykh( 45 arterial'naya okklyuziya i 34 diabeticheskaya angiopatiya). S dokazatel'noy tsel'yu avtor primenil sovremennye metody issledovaniya: - ul'trazvukovaya dopplerometriya; ul'trazvukovoe dupleksnoe skanirovanie; lazernaya dopplerovskaya vizualizatsiya; oprosnik MOS SF-36. S tsel'yu opredeleniya zhiznesposobnosti tkaney, vybore urovnya amputatsii i otsenke zhiznesposobnosti kul'ti primenyalas' lazernaya dopplerovskaya vizualizatsiya dlya otsenki mikrotsirkulyatornykh narusheniy. Avtorom sozdana prognosticheskaya tablitsa zazhivleniya kul'ti; dlya korrektsii mikrotsirkulyatornykh rasstroystv v pred- i posleoperatsionnom periodakh primenen metod vakuum-terapii s dinamicheskoy korrektsiey pokazateley perfuzii krovotoka (upravlyaemaya mikrotsirkulyatsiya).Monografiya budet polezna khirurgam, angiokhirurgam zanimayushchimsya problemami lecheniya ishemii nizhney konechnosti.