PECULIARITIES OF CHANGING PERIPHERAL BLOOD CIRCULATION IN PATIENTS WITH CRITICAL ISCHEMIA OF THE LOWER LIMBS, UNDER THE OPERATION OF REVASCULARIZING OSTEOTHERAPY WITH INTRAOSSEUS LASER RADIATION IN THE POSTOPERATIVE PERIOD

Abstract: to study the features of the dynamics of regional blood flow in patients with critical ischemia of the lower extremities who underwent revascularizing osteotrepanation with intraosseous laser irradiation.
Material and research methods. The study was carried out in 121 patients with critical ischemia of the lower extremities. 48 patients underwent standard surgical and conservative treatment. In 42 patients (group I) revascularizing osteotrepanation was performed, in 31 patients (group II) — revascularizing osteotrepanation with intraosseous laser irradiation. In dynamics the parameters of arterial and venous blood flow were studied. The indices of regional hemodynamics were compared with the identical parameters of 48 apparently healthy individuals ("reference group").
Results. Upon admission to the clinic, patients of both groups were found to have a sharp disturbance of arterial and venous blood flow. In groups I and II, both before discharge from the hospital and 3‒4 months after discharge, significant ((p <0.05) stimulation of arterial and venous blood flow was observed. Correlation-statistical analysis showed that the mobilization of regional blood flow with moderate correlation (r = 0.3‒0.6) reliably (p <0.05‒0.001) depends on surgical indirect revascularization.
Conclusion. ROT with VCLO reliably stimulates regional circulation in patients with KINC against the background of dystal lesions of the arteries. If it is impossible to perform shunt operations in patients with CILL the stimulation of regional blood flow with a ROT with ILR is pathogenetically substantiated.

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