ABSTRACT
The authors show the role of hepatobiliscintigraphy (HBSG) in cholelithiasis as a screening technique in evaluating the patency of the common bile duct, which allows cholecystectomy to be performed if there are normal values, without resorting to additional studies. They have reprospectively analyzed the results of clinical and instrumental studies in 101 patients with cholelithiasis and obstructive jaundice of various etiology in whom the diagnosis was verified by endoscopic cholangiopancreatography (ERCPG). The sensitivity, specificity, and diagnostic efficiency of the scintigraphic technique were 96.5, 36.3, and 86.1%, respectively. It is recommended that invasive diagnostic techniques, such as ERCPG and other direst X-ray contrasting methods, should be used after having a positive result of two techniques: ultrasonography and HBSG (in the above order).
Subject(s)
Jaundice, Obstructive/diagnostic imaging , Radiopharmaceuticals , Cholangiopancreatography, Endoscopic Retrograde/methods , Cholecystectomy , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Injections, Intravenous , Jaundice, Obstructive/surgery , Male , Middle Aged , Radionuclide Imaging , Radiopharmaceuticals/administration & dosage , Reproducibility of Results , Retrospective StudiesABSTRACT
New drug ambipor that is an immobilized antibacterial agent with local prolonged therapeutic activity was developed for prophylaxis of wound suppuration. In ambipor A drugs gentamicin, dioxidin, kephzol and riphampicin are immobilazed, in iodopor - iodine. Experimental studies on 455 white rats showed that ambipor prevents suppuration, abscess formation around ligatures, improve regeneration and fibrillogenesis. In clinical practice ambipor A and iodopor were used in 562 patients. Rate of suppuration decreased from 11.7 to 2.3% compared with control group of patients.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Gentamicins/therapeutic use , Wound Infection/prevention & control , Female , Humans , Male , Wound Infection/microbiology , Wound Infection/pathologyABSTRACT
During the period of 1995-2001 bacteriological examination of 13,842 patients with purulent septic diseases (PSD) was carried out. The statistical processing of data revealed that equalization of the dynamic rows of intensive and extensive values characterizing the number of patients with PSD caused by etiologically important infective agents made it possible to evaluate the reliability of information. A trend to increased etiological importance of the genera Pseudomonas, Escherichia and Klebsiella was established. The number of diseases caused by Staphylococcus, Streptococcus, Enterococcus and Proteus decreased.
