Yarmoluk U. Diagnostics and treatment of posttraumatiс haematomas of the lower extremities soft tissues

Dissertation is devoted to the improvement of results of treatment of victims with the posttraumatic haematomas of soft tissues of lower extremities on the basis of the scientifically-grounded technologies of diagnostics and system of restoration treatment of patients. By the statistical analysis in a robot the epidemiology aspects of development of posttraumatic haematomas of lower extremities are certain and nosology structure of complications at this pathology. Certain and grounded methods researches which enable expressly to expose the structurally-functional changes in soft tissues of trauma lower extremity and allow to choose the optimum method of operative interference. New lowivasiv technology of operative interference (endoscope revision of haematoma cavity) is developed, testimonies and contra-indications are specified to application of this method. By the cross-correlation-regressive statistical analysis studied and systematized errors and complications which arise up at the use of traditional and lowivasiv methods of operative interferences. On the basis of analysis and systematization of the got results a diagnostically-medical algorithm and system of providing of surgical help is developed by suffering with the posttraumatic haematomas of lower extremities, which includes the nosotropic grounded holiatry. On the basis of statistical analysis the system of prognostication of results of treatment is developed. Clinical approbation of the developed algorithm of diagnostically-medical measures at 48 patients of basic group of supervision and the comparative analysis of results of treatment with such at a 61 patient of control group proved the considerable role of choice of lowivasiv surgical interference for diminishing of postoperative pain syndrome, diminishing of duration of treatment, declines of level of complications and improvement of quality of life of patients with the posttraumatic haematomas of lower extremities.