СПОСОБ ТЕРМИЧЕСКОЙ МУКОКЛАЗИИ ЖЕЛЧНОГО ПУЗЫРЯ В ЛЕЧЕНИИ ХОЛЕЦИСТОСТОМИРОВАННЫХ БОЛЬНЫХ ПОЖИЛОГО И СТАРЧЕСКОГО ВОЗРАСТА

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<ul><li><p> 616.366-002-089.87-092.9</p><p>.. .. </p><p>e-mail:gorelik@bsu.edu.ru</p><p> - -. , 60 - . - - - . - -. - , - . -, , , - .</p><p> : , , .</p><p>. , , , - [1, 2, 3]. [4, 5]. 50-70 , , - [6, 7].</p><p> - [4, 5]. , - , : , - [6, 7]. , - , , -, , - .</p><p> - - - .</p><p>mailto:gorelik@bsu.edu.ru</p></li><li><p> . 60 . .</p><p> 60 (55 - - 5 - ) - . - 2 . 26 , - , - 34 , - ( 2261683 10.10.2005).</p><p> - . - - (1989).</p><p> . 1 - .</p><p> - </p><p> 1</p><p> - </p><p>1 2 . % . %</p><p>I 2 7,7 3 8,8II 3 11,5 3 8,8III 9 34,6 14 41,2IV 11 42,4 12 35,3V 1 3,8 2 5,9</p><p> 26 100 34 100</p><p> - .</p><p> 1- . - , 3-4 , . - 70% , - 15-20 , - (60-70 ) 30-40 . 2 - 3 .</p><p> 2- , , ERBE ICC 300-H . - -: - 10 5 . - , . 10 - , 5 , 3,2 1,8 . , - , 23 .</p><p> - 10-12 . - 5 3,2 . - , - . -</p></li><li><p> , . - , , , .</p><p> . , - - . - , - .</p><p> , -, , - , - , . - , , , .</p><p> .</p><p> - , , - , . , - . - . 10-12 , , - 14 21 , - , . 28 .</p><p> , - , . , , - , , . , - , , - , , . , .. , , - . , , - , .</p><p> - , 10-11 . , - , , - , .</p><p> - . 2.</p></li><li><p>1</p><p> -</p><p>2</p><p> (N=26) (N=34)</p><p>(N=26)</p><p>(n=29)</p><p>-</p><p> (n=5)</p><p>1- 1 </p><p>3,80,9 2,90,8 3,40,6</p><p>2 - , </p><p>17,24,2 15,43,1 29,11,8</p><p> 2</p><p>1</p><p>2</p><p>/</p><p> n=26</p><p> n=34</p><p>. % . %1 8 66,7 4 66,7</p><p>2 </p><p>3 25,0 2 33,3</p><p>3 1 8,3 - -</p><p> 12 100 6 100</p><p> . , - , , - , , , , - , , - , , - 4 7 - . , , (. 3).</p><p> 3 </p><p> .</p><p> . , , , - , . - , , - .</p><p> , 42 , . -</p></li><li><p> . -, . , () 10 5 , - - . - .</p><p> , . (. 1).</p><p>. 1. </p><p> , - 1:1 700, , . , , - , (. 2). 10 , .</p><p> 1% - 5 , , - .</p><p> -. - . .</p><p> - 12 - . - .</p></li><li><p>. 2. ., 72 , . , </p><p>.1) 65,3% </p><p> . , , , - .</p><p>2) -, , , , - 82,4%.</p><p>3) :</p><p>) , - ;</p><p>) - ;</p><p>) -, ;</p><p>) - .</p><p>1. , .. / .. , .. , .. // . . . , 2005. . 28-29.</p><p>2. , .. / .. , .. // . 2001. - 9. . 30-31.</p><p>3. , , / .. ,.. , .. . // . . 2008. - .13, 3. - . 15-19.</p></li><li><p>4. , .. / .. // . . 2001. .160, 2. .94-98.</p><p>5. , .. / .. , .. , .. // : . , , . 60- . . . -. , 1995.-. 59-61.</p><p>6. , .. - : . . .... . : 14.00.27 / .. ; . . - , 2001. - 23.</p><p>7. , .. / .. , .. , .. // . .-1998.- 1. - . 34.</p><p>METHOD OF GALLBLADDER THERMAL MUCOCLASY IN TREATMENT OF ELDERLYAND SENILE AGE PATIENTS AFTER CHOLECYSTOSTOMY</p><p>D.V. VOLKOV S.G. GORELIKBelgorod NationalResearch University</p><p>e-mail: gorelik@bsu.edu.ru</p><p>Cholecystectomy is one of the pathogenic well found and radical method of calculous cholecystitistreatment. Nevertheless, lethality after elective surgery in group of patients older 60 years increase in proportionalto their age. Using drainage operations on gallbladder is improve the results of the treatment of patients with highoperation and anaesthetic risk. Residual concrements of gallbladder favour to develop acute cholecystitis relapseand their rehospitalization at once. Demucotisation of gallbladder cavity is alternative cholecystectomy and one ofthe prospective method, fa- vour to decrease the lethality in that group of patients. In this study authors showsadvantages and disadvantages of chemical and bipolar mucoclasy of gallbladder and also gives an studying of newmethod - thermal mucoclasy of gallbladder.</p><p>Key words: thermal mucoclasy, elderly and senile age pa- tients, cholecystostomy</p><p>mailto:gorelik@bsu.edu.ru</p></li></ul>

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