No 1-2 (2014)
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EXPERIENCE OF HEALTHCARE FACILITIES
R. N. Gareev,
R. R. Fayazov,
D. I. Mekhdiev,
I. M. Yarmukhametov,
I. D. Khabibullin,
D. Z. Fakhretdinov
4-6 962
Abstract
In peacetime conditions wounds caused by gunshots of limited damage have been occurred in emergency surgical care more and more frequently. Despite of the established approach in the treatment of gunshot stomach wounds, the authors of this article have summarized the existing experience of treatment of nine victims suffering gunshot wounds to the stomach, performed an analysis of treatment of the victims of this category and developed the diagnostic and treatment algorithm from the perspective of modern technologies. This algorythm has proved its value by absence of lethality and just one anticipated light complication among the victims.
7-9 487
Abstract
TThis article presents the results of treatment of skin cancer by photodynamic therapy. The aim of this work was to investigate the efficacy of treatment for skin cancer of different locations in anatomically difficult areas and multiple primary and recurrent forms. Tumor complete regression was achieved in 88,6% of cases. Results of treatment of basal cell and squamous cell carcinoma were similar in the number of cases of complete regression and partial regression of lesions. The treatment of primary tumors anatomically difficult areas of complete response was achieved in 81,3 % of patients, and we avoided surgery.
9-12 595
Abstract
In the article the method of treatment of unresectable hepatocellular carcinoma has shown. The method is based on the tumor vessels chemoembolization saturating areas with Doksirubitsin mkr Terumo Biocompatibles DCBead 100-300. This technique allows to stop further spread of tumor and to achieve the regress.
13-17 546
Abstract
In our studies to determine the presence of intestinal invagination and control over its unfolding, we have applied the space-gauge sample (WMD), which was based on the principle changes intracolonic pressure with the introduction of clearing of air volume in the intestinal lumen, depending on the child's body weight. To improve the reliability of diagnostics of intussusception, facilities run WMD and fixation of conducted research on electronic media as a necessary condition of evidencebased medicine, we created an electronic device for diagnosing and monitoring the unfolding of intestinal invagination in children - ElectronicAutomated System ofDiagnostics of Intussusception on the basis of volume-gauge sample (OASDI-OMP) Comparing our results of diagnostics and treatment of intussusception in children with the available literature data, we note the undeniable advantage of volume-gauge samples before other ways.
17-21 3135
Abstract
In breast cancer patients, axillary status continues to be the most powerful predictor of survival. This article contains retrospective and prospective analysis for 5-year survival, regional and distant recurrences of 35 patients with occult breast cancer (OBC) presenting as isolated axillary nodal metastasis TxN1-2M0 (I group) and 150 cases of node-positive palpable breast cancer (PBC) T1-3N1-2M0 (II group) during the period from 1997 to 2012 according the materials of Chelyabinsk regional oncology dispensary. The aim of this investigation is to compare prognoses of these groups patients after complex treatment to optimistic treating and diagnostic tactic of OBC. Five-year Kaplan-Meier estimate of overall survival among groups of our patients who had had lymph node metastasis status as N2 in I and II group had been allocated as 46,6% and 63,3% respectively (p=0,02). Five-year distant recurrences of disease among groups of our patients who had had lymph node metastasis status as N2 in I and II group had been allocated as 66,6% and 51,6% respectively (p=0,04). The differences observed between patients of these groups were statistically significant. The OBC prognosis is worse than PBC in N2 subgroup that demand more aggressive therapy for patients of I group.
22-24 753
Abstract
High risk of regional metastasis of oral cancerrequires specialtactics keeping this cohort of patients . Neck dissection is an opportunity to conduct an adequate assessment of tumor process by N and also preventive / therapeutic effect on lymph flow path. In the study the results of treatment of 33 patients with oral cancer were analyzed. All patients underwent surgery for primary tumor and lymph drainage pathways . When cN0 25 lymphadenectomy was performed and histologically identified metastases in 6 patients with cN + passed 8 lymphadenectomy . In cancer of the oral cavity with cN+ and cN0 the dissection of levels I-IV is shown.
V. V. Plechev,
V. Sh. Ishmetov,
R. E. Abdrakhmanov,
S. I. Blagodarov,
R. N. Ziyazetdinov,
I. D. Utenskaya
25-27 617
Abstract
The article gives a short review of сase records of ABSORB Scaffolds Application in patients with ischemic heart disease. All patients underwent endovascular procedures in the Department of Roentgen-Endovascular Diagnostics and Treatment of Bashkir State Medical University Clinic.
28-32 746
Abstract
Low cardiac output and circulatory insufficiency is a risk factor for wound complications in operated patients with coronary heart disease (CHD). The analysis of the number of wound complications in patients with coronary artery disease with low ejection fraction of the heart underwent CABG has done. Two clinical groups has for medin which the sternum fixation and suturing surgical approach produced by traditional (control group) and original (main group) methods. In the study group the number of wound complications was significantly lower and it was allowed to offer this method as a prophylactic.
N. V. Rasulova,
D. T. Arybzhanov,
V. I. Lyubshin,
R. Karrer,
A. Bartl,
Sz. Wlodarczyk,
V. V. Krylov,
M. Kh. Khodjibekov
32-38 2773
Abstract
Results of treatment of 54 patients: 43 female with breast cancer and 11 males with prostatic cancer with metastatic bone disease treated with using Sm-153 are assessed. According to semi-quantitative analyze of WB bone scans the most effects results were found in a group of patients who received combined therapy and there where regression of osteoblastic bone metastases in 84,2% of cases, progression is in 7,8%, the same number of patients had simultaneous process: progression and regression. However in patients who were treated with using Sm-153 oxabifore as mono therapy regression of bone metastases was found in 68% of cases, progression is in 25% of the patients and stabilization of metastatic bone disease is in 6,25% of cases.
38-43 583
Abstract
Currently, the study of mechanisms of development and introduction of the most effective treatment for castration-resistant prostate cancer (CRPC) – one of the most highlighted problems concerning facing oncologists and urologists worldwide. Several large randomized trials recently (TAX 327 , SWOG 9916) shows high possibilities of combinations based on docetaxel. Results of different treatment schemes on the basis of docetaxel and cabazitaxel in hormone-refractory prostate cancer treatment are presented in this study. The favorable effect is received and justifies further research of efficacy of drug combination.
REVIEW
43-47 482
Abstract
In consequence of development of endoscopic technique in recent decades let more accurate diagnosticate precancerous of stomach, which was one of the factors, which promoted their successful treatment. This in turn produced stabilization and reduction of stomach cancer in many countries, including Russia and this trend continues. At once stomach cancer continues occupy one of the lead positions in structure of disease incidence among malignant tumors and is one of the fundamental reasons of mortality. In consequence of reduction to daily practice of modern medical technology, improvement of diagnosis of epithelial appearance and early cancer of stomach became real , in connection with this interest in endoscopic treatment methods increased. Over recent years minimally invasive endoscopic treatment methods occupied the lead position not only in diagnosis but also in the treatment of various diseases of stomach. At the present time endoscopic operations become common use for benign pathology of stomach and early stomach cancer.
L. Z. Velsher,
M. L. Stakhanov,
M. R. Kalinin,
U. U. Gorchak,
K. A. Firsov,
O. A. Vasilyeva,
G. B. Ishevsky,
G. P. Gens,
S. E. Tsalko
47-53 1247
Abstract
Preservative surgery is the main method of treatment for kidney cancer. However functional results of surgery are not good enough in all cases. High-energy laser radiation can improve the results of preservative surgery. This approach minimizes renal ischemia because it does not require stopping renal blood flow. The article deals with modern problems of preservative surgery and the role of high-energy laser radiation in the treatment of patients with kidney cancer.
ЮБИЛЕИ
ISSN 2076-3093 (Print)
ISSN 2307-0501 (Online)
ISSN 2307-0501 (Online)