[Endobronchial use of low-frequency ultrasound and ultraviolet laser radiation in the complex treatment of patients with suppurative bronchial diseases]. / Endobronkhial'noe primenenie nizkochastotnogo ul'trazvuka i ul'trafioletovogo lazernogo oblucheniia v kompleksnom lechenii bol'nykh s gnoíno-vospalitel'nymi zabolevaniiami bronkhov.

The efficiency of endobronchial therapy with low-frequency ultrasound (LFUS) and ultraviolet laser radiation (UVLR) were studied in patients with pyoinflammatory diseases of the lung. A hundred and sixty two patients with chronic bronchitis (CB) and bronchoectatic disease (BD) were clinically followed up. The complex treatment of pyoinflammatory diseases of the bronchi was supplemented by endobronchial LFUS in 86 patients, by UVLR in 29. Routine bronchoscopy (without endobronchial application of LFUS and UVLR) was included into the treatment of 47 patients with CB and BD. Bronchoscopy with LFUS and UVLR was found to have a high efficiency in patients unresponsive to drug therapy. The number of bronchoscopies per treatment regimen could be reduced, the time of a remission and the interval of hospitalization were increased.

[Diagnostic and curative procedures with ultrasound guidance in patients with mechanic jaundice]. / Diagnosticheskie i lechebnye protsedury pod ul'trazvukovym kontrolem u bol'nykh mekhanicheskoi zheltukhoi.

Transcutaneous procedures have been performed under ultrasound control in 404 patients with mechanical jaundice, caused by tumor of the pancreas, primary liver tumor or its metastatic lesion. Cholecystostomy was performed in 40 patients, in other cases external or external-internal draining of bile with subsequent implantation of endoprosthesis for the life-long biliary duct decompression (108 endoprostheses in 98 patients) has been done. Complication have been observed in 3 (0.7%) patients. The mortality rate was 2.1%. The authors recommend this method for wide use in patients with mechanical jaundice and consider it to be a method of choice in inoperable cancer of hepato-pancreatico-duodenal zone.

[Choice of treatment of destructive pancreatitis and its complications]. / Vybor metoda lecheniia destruktivnogo pankreatita i ego posledstvii.

Choice of a proper method of treatment of complicated acute pancreatitis remains indefinite. The results of treatment of 130 patients with acute destructive pancreatitis complicated with pancreatic pseudocysts have been analysed. The authors formulate individual indications to minor surgery under the ultrasound control. The classical type of surgery was used only in patients with calculous pancreatitis complicated with pseudocysts (14). In other patients various types of transcutaneous ultrasound controlled procedures were used. Pilot experience of placing cystoduodenoanastomosis under ultrasound endoscopic control is described. Letal outcomes were absent. The rate of recurrence in external drainage was 10, 5%; there were no cases of recurrence in internal drainage of pseudocysts. The period of long-term follow-up was 58 months.