ABSTRACT
Clinical efficacy of the elaborated algorithm for differential diagnosis and treatment was studied, basing on analysis of the main diagnostic clinical features for presence of an acute mesenterial schemia (AMI), the concomitant diseases identification as the risk factors for the AMI occurrence, the results estimation of accessible noninvasive and invasive methods of diagnosis, correlation between the patient's survival indices and conservative and operative treatment, depending on the AMI stage and the patient state.
Subject(s)
Algorithms , Ischemia/diagnosis , Ischemia/surgery , Vascular Diseases/diagnosis , Vascular Diseases/surgery , Acute Disease , Diagnosis, Differential , Early Diagnosis , Humans , Ischemia/diagnostic imaging , Ischemia/mortality , Magnetic Resonance Imaging , Mesenteric Ischemia , Mortality/trends , Tomography, X-Ray Computed , Treatment Outcome , Ultrasonography , Vascular Diseases/diagnostic imaging , Vascular Diseases/mortality , Vascular Surgical Procedures/methodsABSTRACT
The results of quality of life estimation in the patients are presented, in whom infrared photocoagulation was applied for chronic internal hemorrhoids, including in 141 (58%) of them--performed, according to the standard method (control group) and in 102 (42%)--according to the elaborated method of selective infrared photocoagulation of distal branches of a. rectalis superior under Doppler control (the group of investigation). The patients quality of life was estimated with the help of SF-32 questionnaire according to WHO protocol (WHOQOL, 1993) before the treatment and in 6 mo, 1 and 2 years after the miniinvasive treatment conduction. In the patients of investigation group all the quality of life indices were trustworthy better (P < 0,01), comparing with those before the treatment.