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https://dspace.uzhnu.edu.ua/jspui/handle/lib/2475| Title: | Cтратегія і тактика лікування критичної ішемії нижніх кінцівок |
| Other Titles: | Strategy and tactics of critical ischemia of the lower extremities treatment |
| Authors: | Мішалов, В.Г. Черняк, В.А. |
| Keywords: | хронічна критична ішемія нижніх кінцівок, мультифокальний атеросклероз, патогенез, діагностика, хірургічне лікування |
| Issue Date: | 2012 |
| Publisher: | ТОВ «Спектраль» |
| Citation: | Мішалов, В. Г. Стратегія і тактика лікування критичної ішемії нижніх кінцівок [Текст] / В. Г. Мішалов, В. А. Черняк // Науковий вісник Ужгородського університету / УжНУ. – Ужгород : ТОВ «Спектраль», 2012. – Вип. 2 (44). – С. 82–87. – Бібліогр.: с. 87 (7 назв). |
| Series/Report no.: | Медицина; |
| Description: | A use of the proposed algorithm for preoperative preparation, which takes into account pathogenetic features of the disease course, allowed us to reduce the number of primary amputations of the lower extremities from 10.2 to 4.2% (<0.001). Similarly, a use of the proposed methods for revascularization of the lower extremities allowed the number of secondary amputations to be reduced from 37.7 to 12.7% (<0.001). The original methods were developed for the reconstruction of vascular bed in concurrently damaged arterial basins and used in 153 (30%) patients of the basic group. Owing to them, postoperative mortality was reduced from 5.2 to 2.6% in the immediate period, from 6.5 to 1.4% in the short-term period, from 14.6 to 5.4% in the intermediate period, and from 15.1 to 3.5% in the long-term period (<0.001 vs. control for each period). A comparison between the proposed medical technologies for CCILE diagnosis and surgical treatment and the methods, which were used traditionally in the treatment for this pathology, showed the former to be more efficacious, safe and convenient. The proposed complex approach to solution of the problem of diagnosis and treatment for CCILE associated with MA ensures good and satisfactory results in 95.8% in the immediate period, 89.7% in the short-term period, 95.6% in the intermediate period, and 90.0% in the long-term period among the patients operated on (<0.05 vs. control for each period). Key words: chronic critical ischemia of the lower extremities, multifocal atherosclerosis, pathogenesis, diagnosis, surgical treatment |
| Type: | Text |
| Publication type: | Стаття |
| URI: | https://dspace.uzhnu.edu.ua/jspui/handle/lib/2475 |
| Appears in Collections: | Науковий вісник УжНУ Серія: Медицина. Випуск 2 (44) - 2012 |
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| CТРАТЕГІЯ І ТАКТИКА ЛІКУВАННЯ КРИТИЧНОЇ ІШЕМІЇ НИЖНІХ КІНЦІВОК.pdf | 239.39 kB | Adobe PDF | View/Open |
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