APPLICATION BY TRANSCUTANEOUS OXIMETRY FOR DETERMINATION OF LEVEL OF AMPUTATION OF THE CRUS AT CRITICAL ISHEMIYA OF THE LOWER EXTREMITIES AT PATIENTS WITH DIABETES
Valery Afanasyevich Mitish, Bakodir Barnoyevich Safoyev and *Azizzhon Yakhyoevich Rakhimov
Background: According to the latest data today diabetes mellitus - one of the most widespread endocrine pathologies in the world. Atherosclerosis of vessels is the reason of an origin of critical ischemia of the lower extremities (CILE) in 80-90% of cases. Patients with DM and CILE represent heavy group of patients with high risk of failures. Frequency of amputations remains high at persons with DM and now. One of the most worthy and methods of a research often now in use of a condition of the microcirculatory course is the transcutaneous oximetry. From the offered methods the transcutaneous oximetry shows to sufficient informational content for determination of optimum level of amputation. Objective: The results of treatment of 41 patients operated apropos by the mixed infected forms of diabetic foot with critical ischemia of the lower extremities are subjected to the analysis. Methods: 19 examined patients amputated at the level of a crus the line of border of amputation determined before operation on indicators the basal level of oxygen not less than 30 mm Hg. Result: Given to a transcutaneous oximetry (tpcO2) at these patients showed that in a zone of the expressed fabric hypoxia the sowing of high level of microflora is noted. Conclusion: The analysis of the received results of our research was shown that at severe forms of critical ischemia of the lower extremity modern method is amputation at the level of a crus by Mitish. The combination of operation of Mitish to application transcutaneous oximetry (tcpO2) before operation promotes will lower postoperative purulent complications of a stump.
Keywords: Diabetes mellitus, critical ischemia of the lower extremities, amputation, transcutaneous oximetry.
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