RESUMO
The results of miniinvasive transcutaneous interventions for purulentseptic complications of pancreonecrosis are presented. The computeric tomography (CT) and the ultrasound investigation data where compared while choosing of transcutaneous access towards purulent focus. Peculiar attention was drawn to searching of extraperitoneal trajectory for the drain conduction way. The drains were installed, using a onestaged method with a stylet catheters, owing 10 12 Fr in diameter, or a twostaged one. While comparing various methods of treatment of the pancreonecrosis purulentseptic complications there was established efficacy of miniinvasive interventions, performed for pancreatogenic abscesses and relatively delimited purulent foci in retroperitoneal cellular tissue.
Assuntos
Abscesso/cirurgia , Drenagem/métodos , Pancreatite Necrosante Aguda/cirurgia , Punções/métodos , Sepse/cirurgia , Abscesso/diagnóstico por imagem , Abscesso/etiologia , Abscesso/mortalidade , Adulto , Drenagem/instrumentação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Minimamente Invasivos , Pancreatite Necrosante Aguda/complicações , Pancreatite Necrosante Aguda/diagnóstico por imagem , Pancreatite Necrosante Aguda/mortalidade , Punções/instrumentação , Espaço Retroperitoneal/diagnóstico por imagem , Espaço Retroperitoneal/cirurgia , Sepse/diagnóstico por imagem , Sepse/etiologia , Sepse/mortalidade , Análise de Sobrevida , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
Abstract The results of endovascular laser ablation (EVLA) under ultrasonographic control in treatment of the lower extremities varicose disease (LEVD) in 189 patients (214 extremities) were analyzed. There was established, that for the trustworthy information obtaining the ultrasonographic duplex angioscanning conduction is necessary. The fibrous involution of a big subcutaneous vein trunk was achieved in (97.7 ± 1.0)% observations, in (1.9 ± 0.9)%--while the clinical signs absence--there were revealed the echo-signs of a reflux recurrence--the "ultrasonographic recurrence", and in one observation--a clinical recurrence of LEVD. In (5.1 ± 1.5)% observations in fibrous involution of the segments treated the signs of venous insufficiency in earlier competent parts were revealed--the disease progress registered. The recurrence rate and the pain syndrome severity did not depend on the treated veins diameter. High security of EVLA was established while the complications analyzing.
Assuntos
Angioplastia a Laser , Extremidade Inferior/cirurgia , Veia Safena/cirurgia , Varizes/cirurgia , Insuficiência Venosa/cirurgia , Adolescente , Adulto , Idoso , Feminino , Humanos , Extremidade Inferior/irrigação sanguínea , Extremidade Inferior/diagnóstico por imagem , Extremidade Inferior/patologia , Masculino , Pessoa de Meia-Idade , Dor/fisiopatologia , Dor/prevenção & controle , Dor/cirurgia , Recidiva , Veia Safena/diagnóstico por imagem , Veia Safena/patologia , Resultado do Tratamento , Ultrassonografia , Varizes/diagnóstico por imagem , Varizes/patologia , Insuficiência Venosa/diagnóstico por imagem , Insuficiência Venosa/patologiaRESUMO
The results of treatment of 139 patients, to whom for the varicose disease of lower extremities there was conducted a foam sclerotherapy of trunks and tributaries of big subcutaneous vein, small subcutaneous vein and/or nonsaphenous veins with signs of a valvular insufficiency under ultrasonographic control were presented. Complex of measures for prophylaxis of the disease recurrences and complications was elaborated.
