Publications by authors named "I S Obel'chak"

The study was undertaken to enhance the diagnosis, treatment, and rehabilitation of patients with uterine myoma, by applying multislice spiral computed tomographic angiography (MSCTA) during uterine artery embolization. One hundred and twenty patients were divided into two groups: 1) 75 reproductive-age patients who underwent MSCTA before and after uterine artery embolization; 2) 45 reproductive-age patients who had previously undergone the latter according to the standard protocol. The main criteria for assessing the long-term results of treatment were patient complaints, the state of menstrual cycle and reproductive function, the sizes of the uterus and myomatous nodules, the signs of blood supply and growth of the latter, the presence or absence of new nodules.

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Spiral computed tomography (SCT) in combination with SCT angiography with the rapidity and low-invasiveness of the study yields necessary information and minimizes the number of diagnostic measures in severely wounded patients, by substantially reducing the preoperative period of their examination. The assessment of findings, the processing of data, and the construction of additional repairs do not require the presence of the patient and may be made in later periods. If required, repeated studies make it possible to evaluate the time course of postoperative changes, to identify complications of wound disease at the right time, and to optimize surgical treatment policy.

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Problems of treatment of battle injuries of the ankle joint and foot are discussed. These injuries are characterized with severe disturbances of regional circulation and microcirculation causing hypoxia and metabolic disorders both in soft tissues and in bones. Digital substraction angiography (DSA) was used in 7 wounded (7.

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The results of studies by spiral computed tomography (SCT) in 62 patients with abdominal wounds were analyzed at the Main Military Clinical Hospital of Internal Forces, Ministry of Internal Affairs of Russia. The main contingent of the wounded included active servicemen who had been wounded in the areas of local conflicts, military men. The studies were conducted on days 2 to 15 of their receiving a wound.

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The paper presents experience with spiral computed tomography used in the examination of 1000 patients. It analyzes the potentialities of CT angiography for the diagnosis of abnormality of the vascular bed. It is concluded that the use of the new method of X-ray contrast diagnosis is promising and expedient in clinical cardiovascular surgical care.

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