[Treatment of pyonecrotic complications in diabetic macroangiopathy].
Results of treatment of 104 patients aged from 47 to 82 years with stage IV talocrural ischemia (by A.V. Pokrovsky) due to diabetic macroangiopathy were analyzed. Significant depression of immune status was revealed: number of T- and B-lymphocytes decreased by 40-50%, phagocytosis--by 65-75%, number of immunoglobulins--by 25-30%. The majority of the patients had endotoxicosis, hypercoagulation and hyperlipidemia; the correction of it by hemosorption and plasmapheresis was performed depending on the disease stage. 90 patients underwent surgery. Reconstruction in aorto-ileo-femoral zone was performed in 57 patients (in 34--with good results), in femoro-popliteo-femoral zone--in 33 patients (in 19--with good results). The "Gore-Tex" grafts were the plastic material for reconstruction, but autovein in situ was also used in femoro-popliteal zone.
Dibirov
M D
MD
Gadzhimuradov
R U
RU
Evseev
Iu N
IuN
Novosel'tsev
O S
OS
D000368:Aged; D000369:Aged, 80 and over; D003925:Diabetic Angiopathies / Q000150:complications* / Q000473:pathology / Q000601:surgery; D017719:Diabetic Foot / Q000097:blood / Q000209:etiology / Q000473:pathology* / Q000601:surgery* / Q000628:therapy; D005260:Female; D006464:Hemoperfusion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010956:Plasmapheresis; D011138:Polytetrafluoroethylene; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013492:Suppuration; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene