[Pelvic ostheomyelitis: diagnostics and treatment].

Results of treatment of 223 patients with ostheomyelitis of various etiology and localization were analyzed. Such aspects as diagnostic difficulties, polifocal type of the disease, sepsis development on the background of pelvic ostheomyelitis were discussed. Ostheoscintygraphy, magnetic resonance imaging and computed tomography proved to be of highest diagnostic value by pelvic ostheomyelitis.

[Basic principles of the treatment of chronic pelvic osteomyelitis].

The results of treatment in 177 patients with chronic osteomyelitis of the pelvis are reported. The diagnosis was clarified and the patients' general status was assessed by comprehensive examination (roentgenography, tomography, fistulography, scintigraphy, bacteriological, immunological, and laboratory studies). A procedure of complex preoperative preparation, rational detoxication and immunocorrection, intraoperative blood loss replenishment (autohemotransfusion) and volemic disturbances correction was developed.

[Immune system defence and its correction in patients with chronic inflammatory disorders of lower extremities].

The factors of immune defense were studied in 83 patients. Chronic osteomyelitis of foot and shin was in 48 patients (hematogenic osteomyelitis in 36 patients, posttraumatic osteomyelitis-in 12 patients). Trophic ulcers were in 25 patients: in 36% in the presence of diabetes mellitus; diabetic angiopathy complicated with diabetic gangrene was in 10 patients.

[Immunopathology and morphology of chronic inflammation].

Biopsies from 40 patients with chronic trophic ulcers of lower limbs or osteomyelitis were investigated. Combination of immunopathological processes in the form of immune deficiency, unbalance of T-lymphocyte subpopulations and immunoglobulins, increased levels of circulating immunocomplexes and T-active lymphocytes, high functional T-lymphocyte activity. Moreover, there is a decrease of both chemotaxis and spontaneous motility of neutrophil leukocytes and phagocytosis.

[Computed tomography in the diagnosis of suppurative sacroiliitis in chronic pelvic osteomyelitis].

The object of the investigation was to study the possibilities of CT diagnosis of purulent sacroiliitis and evaluate the effect of its results on the choice of the volume of the surgical intervention and the operative tactics. The pelvis was examined in 15 patients with chronic hematogenic osteomyelitis of the pelvic bones; clinical signs of involvement of the sacroiliac articulation were encountered in 11 of them. There were 5 men and 6 women whose ages ranged from 18 to 62 years.