Ключевые слова: ожоговая травма, раннее оперативное лечение, профилактика уролитиаза.
SUMMARY
Krivodubskaya S.O. The influence of early operative treatment on development of urolithiasis at burned. - Manuscript.
The dissertation on competition of a scientific degree of the candidate of medical sciences on a speciality 14.01.03. - surgery. Institute Urgent and Reconstructive Surgery by V.K.Gusak of AMS of Ukraine, Donetsk, 2008.
The 347 patients are surveyed which are divided into two groups: 165 patients (basic group), which were hospitalized per the first day after a trauma, with which the early operative treatment was carried out, and 182 patients (group of comparison), with which for the various reasons were not carried out early surgical treatment. At all injureds the functional research of a condition of kidneys with study of laboratory, biochemical, instrumental, morphological methods of research was carried out.
On the first investigation phase the influence of burned illness on a functional condition of kidneys in its different periods is investigated. The received data testify to deeper infringement of function of kidneys at the patients with the subsequent development of urolithiasis. On the basis of the received data the mathematical model of prognosis of development of urolithiasis as a ball estimation of the data is created.
The following stage of our work was study of influence of early operative treatment on function of kidneys and as a method of prophylaxis of development of urolithiasis at the given category of the patients.
The 165 patients (basic group) are surveyed, at which the various techniques developed in our clinic, of early necrotomy and necrotomy, and autoplastic of operations are used.
The early operative treatment, since the first day from the moment of reception of a trauma, radical removal of necrotic crust with simultaneous closing of wounds, in early terms. It promotes reduction of quantity of complications that is reflected in a functional condition of kidneys and of urinary system as a whole. General frequency of diseases of urinary system 27 patients (16,36+2,9 %) basic group, and 51 injureds (28,02+2,9 %) in control. Thus the development of urinary illness in the basic group met at 16 patients (9,7+2,03 %), against 31 patients (17,03+2,8 %) in control group, thus t > 2; р < 0,05 in comparison in different groups.
Key words: a burned trauma, early operative treatment, prophylaxis of urolithiasis.