RESULTS OF COMPLEX TREATMENT OF PYOINFLAMMATORY DISEASES

Aim. To improve the results of treatment of patients with pyoinflammatory diseases of soft tissues and diabetic foot syndrome by means of differential changes in surgical methods and adequate conservative measures. Materials and methods. The paper presents the results of treatment of 474 patients with diabetic foot syndrome and 40 – with pyoinflammatory diseases of soft tissues. All patients with diabetic foot syndrome were divided into two groups: the main group and the comparison group – 234 and 240 patients, respectively. Complex therapy of patients of the main group additionally included intravenous introduction of thioctic acid drugs (thiogamm) using the modernized infusion system and antihomotoxic means. Local therapy was supplemented with adhesive bandages (Permafoam), expediency of which depending on the stage of wound process was studied in 40 patients (two groups – 20 persons each) including 24 (60%) women and 16 (40%) men with different nosological forms. In the main group, adhesive bandages (Permafoam) were used, in the comparison group – levomicol. Results. The suggested complex of conservative measures used for patients with diabetic foot syndrome significantly reduced the number of amputations, thus in the main group 8,06% of patients underwent high amputations at the femur level, 4,03% – low amputations at the shin and foot level, 12,9% – necrectomy, 6,45% – phlegmonas, but in the comparison group 9,79%; 8,06%; 34,38% and 45,38%, respectively. Among patients of the main group, where efficiency of adhesive bandages was studied, decrease in the length, width and depth of wounds on the days 5 th and 10 th of treatment quickened versus the comparison group by 35% and 30%, respectively. Conclusion. The suggested algorithm of treatment in patients with marked damage of distal parts of magistarl arteries permitted to preserve extremities in 85,91% of patients. Adhesive bandages “Permafoam” applied in local treatment of pyoinflammatory diseases of soft tissues have a positive medical effect, reduce the total time of bandaging and patient’s disability period, lower the costs of treatment.

Diabetic foot syndrome, adhesive bandages, diabetic mellitus, pyoinflammatory diseases of soft tissues, surgery