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Особенности развития вторичных деформаций у детей с рубцовыми последствиями ожогов, принципы хирургического лечения

Особенности развития вторичных деформаций у детей с рубцовыми последствиями ожогов, принципы хирургического лечения

Abstract

The authors determined the characteristics of secondary scar deformities in children depending on its localization and specificity of the primary injury. For the period from 2008 to 2010 we examined and treated 184 children with scar deformities of varying degrees of severity and location. The examination included: clinical methods including neurological examination, as well as rentgenography, electroneuromyography, ultrasound, CT and MRI, depending on indications. In addition, depending on the localization of a deformity were performed stabilographic and biomechanical studies. Surgical and medical treatment of cicatricial deformity in children depends on the anatomical and physiological characteristics of the affected segment. In planning the reconstruction of treatment, must be taken into account the conditions of local blood circulation, which can vary greatly depending on the duration of the existence the deformity and the etiology of the primary lesion. Basic principles of prophylactic clinical examination of pediatric patients at the stages of rehabilitation:

Определены особенности развития вторичных послеожоговых рубцовых деформаций у детей в зависимости от их локализации и специфики первичного повреждения. За период с 2008 по 2010 г. было обследовано и пролечено 184 ребёнка с рубцовыми деформациями различной степени тяжести и локализации. Обследование клиническое, в том числе неврологическое, и инструментальные методы: рентен, электронейромиография, УЗИ, КТ, МРТ по показаниям. Кроме того, в зависимости от локализации деформации, выполнялись стабилографическое и биомеханическое исследования. Тактика хирургического и консервативного лечения рубцовых деформаций у детей зависит от анатомо-физиологических особенностей поражённого сегмента. При планировании реконструктивного лечения необходимо учитывать условия местного кровообращения, которое может меняться в значительной степени в зависимости от длительности существования деформации и этиологии первичного поражения. Сформулированы принципы диспансеризации пациентов детского возраста на этапах реабилитации.

Keywords

ВТОРИЧНЫЕ ДЕФОРМАЦИИ, ПОСЛЕОЖОГОВЫЕ РУБЦОВЫЕ ДЕФОРМАЦИИ, РЕКОНСТРУКТИВНОЕ ЛЕЧЕНИЕ, ДИСПАНСЕРИЗАЦИЯ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
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