Saratov JOURNAL of Medical and Scientific Research

2008, volume 4

FEATURES OF SURGICAL TACTICS AND TREATMENT OF ACUTE APPENDICITIS AT PRESENT STAGE

Year: 2008, volume 4 Issue: №3 Pages: 111-118
Heading: Surgery Article type: Original article
Authors: S.S. Slesarenko, A.Yu. Lisunov
Organization: Saratov State Medical University
Summary:

This research is dedicated to the problem of choosing treatment tactics in catarrhal form of acute appendicitis. The results of investigation and treatment of 1468 patients with acute appendicitis of our region were analyzed. Large specific gravity (26%) of patients who had been operated with regard to acute appendicitis was exposed. With the purpose of improvement of surgical treatment results of patients with acute appendicitis we have worked out and instilled a diagnostic system, which is a totality of invasive and uninvasive methods of investigation that allows to divide clinical material into two categories: one of them is with existence of inflamed process and the other is without it.

Keywords: apoptosis, catarrhal form of acute appendicitis, cytokines, immune monitoring

THE SPIRIT-PROCAINE PERIARTERIAL BLOCKADES APPLICATION UPON THE THIRD SEGMENT OF VERTEBRAL ARTERY IN VERTEBRAL-BASILAR INSUFFICIENCY

Year: 2008, volume 4 Issue: №3 Pages: 107-111
Heading: Surgery Article type: Original article
Authors: R.Z. Losev, A.M. Khachatryan, I.I. Sholomov, N.A. Kaybekova
Organization: Saratov State Medical University
Summary:

The spirit-procaine blockades are pathogenicallyjustified methods oftreatmentofthe vertebral-basilarartery insufficiency caused by vertebral pathology. Chemical desympathisation of the third portion of the vertebral artery (VA) can be applied as alternative to stellate ganglionectomy and blockades of stellate ganglion or periarterial plexus of the VA at the level of the sixth cervical vertebra. In case of positive effect after procaine blockade, the next stage of the treatment is the periarterial alcoholisation of vertebral arteries by low-concentrated (30°) ethyl alcohol. This effect is analogous to procaine blockade, but more steadfast Clinical and ultrasound investigations proved, thatspirit-procaine blockades improve the blood flow in vertebrobasilar arterial system, reduce the peripherical resistance of the vessels and interhemispherical asymmetry, and decrease the spasm of intracranial arteries, that leads to improvementof neurological condition.

Keywords: cervical spine, spirit-procaine periarterial blockade, vertebral-basilar insufficiency

INFECTIONS OF URIC SYSTEM OF NEWBORNS: PECULIARITIES OF URINE DYNAMICS IN LOWER URINARY TRACTS DURING PRE-NATAL DEVELOPMENT

Year: 2008, volume 4 Issue: №3 Pages: 101-106
Heading: Urology Article type: Original article
Authors: M.L. Chekhonatskaya, P.V. Glybochko, L.K. Vasilevich, M.M. Grigorieva
Organization: Saratov City Hospital № 11, Saratov State Medical University
Summary:

For the purpose of revealing pre-natal urine dynamics preconditions ofdevelopment ofan infection ofurinary system atnewborns, feature urine dynamics functions of 101 fetus have been studied. Studying urine dynamics indicators of upper and lower urinary tracts of a fetus was carried out with the help of pre-natal ultrasonic cystometry process of filling and clearing the urinary bladder. It is established, that preconditions to development of urinary system infection in newborns are changes of urinary bladder capacity, frequency and speed of urination pre-natal developments.

Keywords: fetus, newborn, urinary bladder, urine dynamics

QUALITY OF LIFE AND LONG-TERM RESULTS OF RADICAL CYSTECTOMY IN PATIENTS WITH INVASIVE URINARY BLADDER CANCER

Year: 2008, volume 4 Issue: №3 Pages: 97-101
Heading: Urology Article type: Original article
Authors: P.V. Glybochko, A.N. Ponukalin, Yu.l. Mitryaev, N.G. Galkina
Organization: Saratov State Medical University
Summary:

The type of urinary derivation after radical cystectomy due to urinary bladder carcinoma may greatly influence quality of life of patients. The purpose of this study was to estimate influence of different types of urinary derivation after cystectomy upon lifetime and health-related quality of life of patients with invasive urinary bladder cancer.

Keywords: cystectomy, ureterocutaneostomy, ureterosigmoidostomy, urinary derivation

THE DIAGNOSTIC IMPORTANCE OFCYTOLOGIC SIGNS OF EPITHELIAL OVARIES TUMORS

Year: 2008, volume 4 Issue: №2 Pages: 51-55
Heading: Macro- and Micromorphology Article type: Original article
Authors: E.A. Piterskaya, G.P. Gladilin
Organization: Saratov State Medical University, Saratov Regional Clinical Hospital
Summary:

The informative value ofcytologic signs of various epithelial ovaries tumours, which has the diagnostic importance in the process ofcytologic diagnostics, is determined. Groups of basic, the most are established and the least informative signs for differential diagnostics of boundary cystadenoma and cystadenocarcinoma were determined.

Keywords: ovaries tumours, diagnostics, cytologic signs

ЛЕЧЕНИЕ ПЕРЕЛОМОВ НАДКОЛЕННИКА С ИСПОЛЬЗОВАНИЕМ АППАРАТОВ ВНЕШНЕЙ ФИКСАЦИИ

Year: 2008, volume 4 Issue: №3 Pages: 95-96
Heading: Traumatology and Orthopedics Article type: Short message
Authors: K.K. Levchenko, O.V. Beidik, M.B. Litvak, T.N. Lukpanova, D.A. Markov
Organization: Saratov State Medical University
Summary:

The authors of the article suggest way of surgical treatment of patella fracture by means of external fixation. Such approach provides reduction ofrehabilitation period and reduces risk of complications

Keywords: external fixation, patella fracture

METHODS OF OSTEOSYNTHESIS OF ARTICULAR FRACTURES INFLUENCE OVER DEVELOPMENT OF DYSTROPHIC DEGENERATIVE JOINT CHANGES

Year: 2008, volume 4 Issue: №3 Pages: 90-94
Heading: Traumatology and Orthopedics Article type: Original article
Authors: O.V. Beidik, T.N. Lukpanova, D.V. Mandrov, M.B. Litvak, S.A. Nemalyaev, V.В. Borodulin, A.A. Steklov, M.A. Shcherbakov
Organization: Saratov State Medical University
Summary:

The authors of article suggest the way of treatment limbs fracture of the using to spoke-shank device for external fixation. Such approach allows to reduce risk ofdevelopmentofcomplications anddystrophic degenerative jointchanges.

Keywords: articular fractures, external fixation

THE MICROBIOLOGICAL EFFICACY ESTIMATION OF DIFFERENT TYPES OF CHRONIC PERIODONTITIS’ ANTI-INFLAMMATORY THERAPY

Year: 2008, volume 4 Issue: №3 Pages: 88-89
Heading: Stomatology Article type: Short message
Authors: O.B. Ryba
Organization: Samara State Medical University
Summary:

The article deals with microbiological status of patients with chronic generalized periodontitis of medium severity. On the basis of clinical and microbiological data the analysis of different methods efficacy of anti-inflammatory therapy was carried out. We studied antimicrobial effect of laser therapy, ozonotherapyandcombinations oflaser- ozonotherapyin comparison with influence ofchlorhexidine 0,2%. Combined laser and ozone influence on periodontium provided high antibacterial effect with increased local nonspecific resistance, and it extended remission term of patients with chronic periodontitis.

Keywords: anti-inflammatory therapy, chronic periodontitis, microbiological status

FORECASTING OF CHARACTER OF COURSE OF DUODENAL ULCER AND CHRONIC GASTRODUODENITIS AT CHILDREN

Year: 2008, volume 4 Issue: №3 Pages: 84-87
Heading: Pediatrics Article type: Original article
Authors: A.V.Kotovsky, E.A.Sirotkin
Organization: Saratov State Medical University, Penza Institute for Advanced Training of Physicians
Summary:

229 children and teenagers in the age of 10-17 years have been examined: suffering a peptic ulcer of a duodenum - 23persons; chronic erosive gastroduodenitis - 31 persons; chronic superficialgastroduodenal - 175persons; and practically healthy - 30 children from the control group. The features of clinical course of chronic gastroduodenal diseases with negative types of the parent attitude and formation of individual psychosocial features ofthe person have been studied. Carried out research allowed to allocate the number of factors to forcastthe developmentof gastroduodenal pathology with probability of 81%.

Keywords: stomach ulcer, forecasting of disease development, chronic gastroduodenal disease

FEATURES OF LIPID PEROXIDATION AND NEUROTROPHIC REGULATION IN PATIENTS SUFFERING FROM PARANOID SCHIZOPHRENIA

Year: 2008, volume 4 Issue: №3 Pages: 81-83
Heading: Psychiatry Article type: Original article
Authors: E.V. Kolesnichenko, V.B. Vilyanov
Organization: Saratov State Medical University
Summary:

The article deals with the features of lipid peroxidation, activity of the antioxidative systems and level of brain-derived neurotrophic factor in patients with paranoid schizophrenia. Present study indicates associations between the studied parameters and type of progression, duration of disease and gender of patients.

Keywords: schizophrenia, lipid peroxidation, brain-derived neurotrophic factor