D.m.n., prof. Sopuev A.A., Tilekov E.A. Natsionalnyj the surgical centre of the Kirghiz Republic, Bishkek

the Problem of diagnostics and treatment sharp pelvioabdominalnoj a pathology at women ostaetsja actual also it is far not resolved problem. Gynecologic zabolevanija call the big difficulties in connection with similarity them kliniki with surgical diseases of bodies of a belly cavity, and also neobhodimostju to make urgent decisions concerning tactics of treatment such bolnyh.

With working out of a technique of a laparoscopy there was a real possibility of application takogo a treatment method as regional limfostimuljatsija, ozonization belly polosti.

the Problem of our research is the comparative estimation of productivity kombinirovannoj laparoscopies with various medical-handling components, a the standard component of sanitation of a belly cavity with the help furatsillina v to one group of patients, and against ozonosanatsii and regionarnoj limfostimuljatsii in drugoj to group of patients.

At 34 patients with not clear clinic sharp pelvioabdominalnoj pathologies diagnosticheskie doubts us have been resolved by a laparoscopy. And, after utochnenija the diagnosis to all of them are executed laparoskopicheskie interventions, in that chisle at 7 patients concerning the broken trumpet pregnancy, at 11 - complicated kistoznoj pathologies, at 4 - apopleksii jaichnika.

the Surveyed patients have been distributed on 2 clinical groups. Kontrolnuju the group was made by 22 patients at whom against combined laparoskopii sanitation of a belly cavity was carried out by usual way, namely portsionnym washing by a solution furatsillina.

the Basic group was made by 12 patients at whom combined laparoskopija switched on such medical-handling components as ozonosanatsija brjushnoj cavities and a technique regional limfostimuljatsii.

the Basic method of treatment at patients of both clinical groups was laparoskopicheskoe removal matochnoj pipes, jaichnika and sanitation belly polosti.

Laparoskopichesky operation at the broken extra-uterine pregnancy, namely pri rupture matochnoj pipes, began with aspiratsii blood from a belly cavity, udalenija clots of blood for the best visual control. And, deleted zhidkaja blood was going to in a vessel with addition 1000 units geparina on each 100 ml krovi.

the Collected blood was filtered through an eight-layer gauze in a sterile bottle, posle that this bottle connected in system for intravenous injection. Follows zametit, that reinfuzija autokrovi by us it is carried successfully out at 8 of 10 patients s extra-uterine pregnancy. The volume of back poured blood has made 475,5±45,5 ml.

After blood evacuation the belly cavity was washed out by a solution furatsillina. Posle drainages of a belly cavity started mobilisation amazed matochnoj truby stupid and sharp by. Thus used in most cases koaguljatsionnyj a hemostasis, is more rare proshivanie endostejplerom.

Distalnaja the part matochnoj pipes undertakes on a clip, is spent traktsija, for raspravlenija mezosalpinksa then last is crossed by electroscissors s simultaneous coagulation. Matochnaja the pipe left through 10-mm troakar.

After the visual control on a hemostasis, the belly cavity was sanified, as already podcherkivalos, a warm solution furatsillina in control group and / a rozono-oxygen mix in the basic group. In all cases at both patients klinicheskih groups a drainage tube in a belly cavity left on the average on 24-72 hour for the purpose of evacuation collected ekssudata and in the basic group, for provedenija in the subsequent ozonosanatsii.

In the end of operation at persons of the basic group, considering that circumstance, that kisty s muddy contents, presence vypota in a small basin that specifies on vospalitelnyj process, we carried out regional limfostimuljatsiju on sledujushchej to a technique: in a wide sheaf of a uterus by it tonnelizatsii fixed mikroirrigator through which it was entered limfotropnaja a mix (antibiotics, geparin, lidaza, novokain, T-aktivin).

At sick both clinical groups after careful aspiratsii ekssudata from brjushnoj cavities spent so-called furatsillinovyj gidroperitoneum. The volume zhidkosti made about 2000-2500 ml. Later 5-6 mines of an exposition a solution aspirirovali.

In the basic group, unlike control group, then carried out ozonirovanie a belly cavity an ozono-oxygen mix. Comparative dynamics posleoperatsionnyh kliniko-laboratory indicators we studied in the first 4 days posle operations.

the Postoperative period proceeded without complications, in one case we not pribegli to chrevosecheniju, and thanking these actions have achieved recover, pri it have noted a favorable current and positive dynamics from the party laboratornyh and clinical indicators.

We have compared the basic indicators in group of patients by which it was carried out regionalnaja limfostimuljatsija at laparoskopicheskih operations and without application takovoj and essential distinctions in normalisation terms temperatury, decrease lejkotsitoza, restoration motorno-evakuatornoj functions kishechnika are thus received.

Apparently from table 1, at patients of the basic group, in comparison with patsientkami control group already in 1 days of the postoperative period samochuvstvie and a number of indicators, switching on CHD, CHSS, a body temperature were more priblizheny to normal values.

For 4 postoperative days patients of the basic group practically not oshchushchali painful sensations and the discomfort, connected with them. Besides at etih patients painful sensations are liquidated in early terms, also faster normalizuetsja body temperatures, and active peristaltika is restored already na 2 days after intervention. Patients of the basic group rather aktivny.

the Note : * - it is authentic in comparison with norm; * * - it is authentic in comparison with the previous term of research

* - it is authentic in comparison with norm; * * - it is authentic in comparison with 1st group; * * * - it is authentic in comparison with initial level

Apparently from table 2, at patients of the basic group rates of decrease lejkotsitoza bolee accurate, rather than than at patients of control group. If normalisation kolichestva leukocytes in peripheral blood comes at them on 3 posleoperatsionnye days in comparison group even by an outcome of 4 days posleoperatsionnogo the period it is saved moderated lejkotsitoz.

the data obtained by us specify in essential advantages of use regionalnoj limfostimuljatsii, and also ozonization of a belly cavity.

In the postoperative period patients received antibiotics throughout 4-6 dnej depending on a current of the postoperative period, a complex of vitamins, solevye solutions, plasma.

From 12 operated in the conditions of postoperative ozonization belly pol osti and regionarnoj limfostimuljatsii we did not observe complication, whereas, at traditsionnom postoperative treatment in group of the control of complication were marked at 6 patients.

it is necessary to notice, that at 6 of 22 sick control groups we observed stojky parez intestines throughout 4-5 days whereas in the basic group at odnogo the patient of such phenomena it was not observed. On this background at one of patients razvilas nizhnedolevaja plevropnevmonija. Thereupon, it is necessary to notice, rezultativnost ozonosanacii+regionarnoy limfostimuljatsii in early posleoperatsionnoj activization of a motility of intestines.

So, use ozonosanacii+regionarnoy limfostimuljatsii allowed bystree to remove inflammatory process, to improve a status of patients and to write out from statsionara in rather short terms.

Thus, regional limfostimuljatsija provides high concentration antibiotikov in the centre of defeat and promotes improvement of drainage function limfaticheskoj systems and renders immunokorregirujushchee influence and, besides, sposobstvuet to earlier restoration motorno-evakuatornoj to function kishechnika. The favorable current and positive dynamics with storony laboratory and clinical indicators is thus marked.

At patients of the basic group, in comparison with patients of control group bolevye sensations are liquidated in early terms, also is fast normalised temperatura bodies, and active peristaltika is restored for 2 days posle interventions. Besides, rates of decrease lejkotsitoza, SOE and LII more chetkie, rather than than at patients of control group.

Use ozonosanacii+regionarnoy limfostimuljatsii allowed faster snjat inflammatory process, to improve a status of patients and to write out from statsionara in rather short terms. Average stay in a hospital, and takzhe average duration of postoperative kojko-days in the basic group almost v 2 times is less, than at patients of control group.