[Preoperative determination of the boundaries of soft tissue necrosis in patients with diabetes mellitus].
The authors examined 34 patients with diabetes mellitus and purulent diseases of the soft tissues and 40 persons who formed the control group. The study of local microcirculation in the purulent focus, in a purulent and closed wound by determining the oxygen tension in capillary blood (pO2) established by using an noninvasive method that a real possibility for determining the exact boundaries of tissue necrosis has appeared. This makes it possible to excise optimally the necrotic tissues and choose the techniques of applying primary, primary-delayed or early secondary sutures. In addition, the study of the dynamics of pO2 changes allows the course of the wound process to be followed up and, consequently, possible suppuration of the wound to be predicted.
E V
EV
Kuleshov
A I
AI
Goriunov
M A
MA
Liapis
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003920:Diabetes Mellitus / Q000097:blood / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010100:Oxygen / Q000097:blood; D010313:Partial Pressure; D011300:Preoperative Care
D010100:Oxygen
Dooperatsionnoe opredelenie granits nekroza miagkikh tkaneĭ u bol'nykh sakharnym diabetom.