Science

Kazan Medical Journal
1996 N3.

CONTENTS

Theoretical and Clinical Medicine
Chugunov A.N., Fedorov I.V., Dmitriev E.G., Slavin L.E.
Yatrogenic complications of laparoscopic cholecystectomy and their prevention
161
Muravyev V. Yu., Kalimullin F.F., Garifullin R.I.
Endoscopic destruction of benign tumors of the tomach and large intestine
168
Gorshov A.N., Akberov R.F.
The place of roen-tgen computer tomography in the diagnosis of endophytic carcinoma of the tomach
170
Bakhtiozin R.F., Ilyasov A.V., Ibatullin M.M., Chu-vashaev I.R., Zinin V.N., Ilyasov K.A., Safiullin A.G.
Magnetoresonance tomography in differential diagnosis of focal lesions of the liver
172
Guryev E.N., Bakhtiozin R.F., Kapelyushnik N.L.
On the advantages of contrast intensification in ultrasonic examination in gynecologic practice
176
Slabnov Yu.D., Valimukhametova D.A., Valeeva I. Kh., Garaev R.S.
Effect of pyrimidine derivatives: xymedone and diuciphone on bioenergetic processes of mitochondria
179
Slabnov Yu.D., Gilev A.V., Cherepnev G.V.
Ra-dioprotective action of 5% xymedone ointment on skin acute radiation reaction in distance g-therapy in patients with malignant tumors of the head and neck
182
Bashirova D.K., Fatkullin B. Sh., Karimov R.R.
Peculiarities of the course of salmonollosis gast-roenteritis in the presence of chronic chelico-bacteriosis gastritis
184
Klyushkin I.V., Mikhailov M.K., Pasynkov D.V.
On the problem of efficacy of operative and con-servative treatment in degeneration of disks of the lumbar part of the vertebral column
189
Tsibulkina V.N.
Treatment of chronic urticaria with dimephosphone and histamine antagonists
190
Ibatullin I.A., Faizov T.T., Valeev E.K., Tarasko A.D., Grishin P.O.
Clinicomorphofunctional justification of vagosympathetic novocainic block and its modi-fication in maxillofacial trauma
194
Valeeva K.T., Krasnoshchekova E.E., Ibyatova E.V., Bakaldina N.P.
Connection of dysba-cteriosis of the intestine with level of Ig E
198
Al-Shukri S.Kh., Gorbachev A.G., Kuzmin I.V.
Effect of prostatilen on the metabolic activity of phagocytes in patients with chronic pyelonephritis
200
Kapelyushnik N.L., Mukhametshina R.A., Muze-eva L.F., Shmelev A.A.
Hormonal therapy of endometriosis
202
Fattakhov V.V., Mikhailov M.K., Akberov R.F., Bakhtiozin R.F.
Diagnosis of birth injuries of the cervical region of the vertebral column by radia-tion methods
204
Khabirov F.A., Aidarov V.I., Galyamov D.L.
Rehabilitation of immobilization contractures of the knee joint and their prevention
207
Survey
Ziganshina L.E., Ziganshin A.U.
Possibilities of
212
Short Communications
Gaisina T.A., Iskhakova L.P., Klyushkin I.V.
Somatosensory caused potentials in the diagnosis of degenerative diseases of the spinal cord
216
Akberov R.F., Nuriev Z.Sh., Kirshina E.A., Zaripov R.A., Dmitriev O.Yu.
Experience of the use of roentgen computer tomograph
217
Tukhbatullin M.G.
Possibilities of ultrasonic examination of the stomach
218
Discussion
Abashev R.Z., Bakhtiozin R.F., Cherepnev G.V.
Republic medical diagnostic centre: conception prospects of the development
219
Social Medicine and Organization of Public Health Services
Abdullin I.S., Kamalov A.A.
Medicodemographic indices in Tatarstan Ropublic
222
Amirov N.Kh., Krasnoshchekova V.N.
Physiolo-gicohygienic estimation of labour conditions of wor-kers of mechanical shops of engineering works
225
Epidemiology
Savitskaya T.A., Makarova T.V., Trifonov V.A.
Epidemiologic peculiarities of sickness rate of diphtheria in Tatarstan Republic in 1994
227
Valeeva K.T., Krasnoshchekova E.E.
Revealing rate of markers of virus hepatitis B and C in hospitals of somatic profile
229
Guidelines for Practitioner
Kamalov I.I., Pikuza O.I., Idrisova L.G., Uryvsky V.I., Ibatullin M.M.
Clinicoelectrophysiologic and mag-netoresonance and tomographic investi-gation of hereditary and congenital diseases of the brain
230
Khalitov F.Ya., Maksimov O.N., Gashigullin R.I., Chilikina S.V.
Treatment and diagnostic tactics in phosphororganic insecticides poisoning
232
New Methods and Instruments
Abdullin I.Sh., Gafarov Kh.Z., Sabitov V.Kh., Mironov M.M.
Bactericidal and biological firm coatings for implantans
234
Abdullina A.M.
Efficacy of the new method of electroreflexotherapy
236

YIATROGENIC COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY AND THEIR PREVENTION

A.N. Chugunov, I.V. Fedorov, E.G. Dmitriev, L.E. Slavin
S u m m a r y
It is shown that preoperative selection of patients, intraoperative cholangiography and immediate laparotomy, when the occasion requires, allow to decrease the freqyency of iatrogenic injuries of extrahepatic biliary ducts. However, there is nothing to replace careful and exact preparation of tissue from Gartìànœœ›'s pocket and to the zone of gall bladder neck.

EFFECT OF PYRIMIDINE DERIVATIVES: XYMEDONE AND DIUCIPHONE ON BIOENERGETIC PROCESSES OF MITOCHONDRIA

Yu.D. Slabnov, D.A. Valimukhametova, I.Kh. Valeeva, R.S. Garaev
Summary
The stimulation of oxygen consmption in the presence of incubative medium just as excessive quantity of oxidation substrate, so oxidation phosphorylation disconnector of 2,4- dinitrophenol is shown on thymocytes of not pedigree he-rats obtaining xymedone (3 mg/kg and 30 mg/kg) and diuciphone (30 mg/kg) during 9 and 30 days. The effect of xymedone is dosedependent and more pronounced than the effect of diuciphone. The uniform effect of xymedone on mitochondrion respiration of thymocytes and isolated mitochondria of the liver is shown.

CLIMCOMORPHOFUNCTIONAL JUSTIFICATION OF VAGOSYMPATHETIC BLOCK AND ITS MODIFICATION IN MAXILLOFACIAL TRAUMA

I.A. Ibatullin, T.T. Faizov, E.K. Valeev, A.D. Tarasko, P.O. Grishin
S u m m a r y
The results of the analysis of novocainic vagosympathetic and modified trigeminosympathetic blocks action are presented. The method of trigeminosympathetic block performance and the results of treatment of 37 patients with maxillofacial region trauma and its use are described. The action of novocainic block is realized by microcirculation normalization providing reparatioe and proliferative and central nervous system trauma.

CONNECTION OF DYSBACTERIOSIS OF THE INTESTINE WITH LEVEL OF Ig E

K.T. Valeeva, E.E. Krasnoshekova, E.V. Ibyatova, N.P.Bakaldina
As many as 405 patients of therapentic, surgical hospitals and ambulatory clinic patients are examined. Dysbacteriosis is revealed in 40,2% of the cases. The disorbers of the intestine microbiocenosis are characterized by the tendency to allergization of the organism ( high level of Ig E).

EFFECT OF PROSTATILEN ON THE METABOLIC ACTIVITY OF PHAGOCYTES IN PATIENTS WITH CHRONIC PYELONEPHRITIS

S.Kh. Al-Shukri, A.G. Gorbachev, I.V. Kuzmin
S u m m a r y
The investigation of the metabolic activity of leukocytes and the effect of bioregulation peptide of theprostate - prostatilen on it is performed. It is found that suppression of oxygendependent microbicide systems of phagocytes, more pronounced in the initial form of the disease, occurs in patients with chronic pyelonephritis. The differences in the activity of oxygenindependent systems of phagocytes in patients with chronic pyelonephritis and healthy persons are not revealed. The increase of NST-test values after the use of prostatilen is noted, showing the activity intensification of oxygendependent antiinfections systems of phagocytosing cells.

MAGNETORESONANCE TOMOGRAPHY IN DIFFERENTIAL DIAGNOSIS OF FOCAL LESIONS OF THE LIVER

R.F. Bakhtiozin, A.V. Ilyasov, M.M. Ibatullin, I.R. Chuvashaev, V.N. Zinin, K.A. Ilyasov, A.G. Safiullin
S u m m a r y
The importance of magnetoresonance tomography among noninvasive methods of visualization of the liver and diagnosis of focal lesions is noted. The method under discussion is highly sensitive (100%) in diagnosis of the liver cysts with minimum diameter (6 mm). Its specificity without the use of contrasting reagents averages 92%.

REHABILITATION OF IMMOBILIZATION CONTRACTURES OF THE KNEE JOINT AND THEIR PREVENTION

F.A. Khabirov, V.I. Aidarov, D.L. Galyamov
S u m m a r y
The results of rehabilitation measures of 19 patients with immobilization contractures of the knee joint just as in early terms, so in late terms of their formation are presented. It is shown that electrostimulation, psychotherapy and isometric gymnastics in combination with self-control are the pathogenetic methods of the treatment of posttraumatic contractures: their use allows to reduce the treatment terms by a factor of 1,5-2.

THE PLACE OF ROENTGEN COMPUTER TOMOGRAPHY IN THE DIAGNOSIS OF ENDOPHYTIC CARCINOMA OF THE STOMACH

A.N. Gorshkov, R.F. Akberov
S u m m a r y
The possibilities of roentgen computer tomography in the diagnosis of infiltrative carcinoma of the stomach, especially in the determination of stomach wall enlargement, process occurrence, are estimated positively using the investigations of 45 patients with endophytic carcinoma of the stomach. It should be used after usual roentgen and endoscopic methods.

HORMONAL THERAPY OF ENDOMETRIOSIS

N.L.Kapelyushnik, R.A. Mukhametshina, L.F. Muzeeva, A.A. Shmelev
Summary
The leading method of the treatment of endometriosis is surgical. The hormonal therapy can precede the operation in indication to the operative treatment of patients with endometriosis. The operation is directed to the decrease of symptoms and foci sizes and makes the surgical intervention easier. However, the treatment with hormones can be the alternative to the operation. The following hormonal drugs: hestagens, norstreroids derivatives, antigonadotrophins, as well as new drugs - agonists of gonadotrophin-releasing of hormones are used. The most efficient drug is zoladex-depo.


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