SU1258422A1 - Method of treatment of ulcers - Google Patents

Description

This invention relates to surgery, namely, surgery and therapy.

The purpose of the invention is to reduce the time of treatment, and also to enhance the regenerative processes in the absence of granulations by using an EFI, laser therapy and dermoplasty.

The method is carried out as follows.

A bandage with proteolytic enzymes is applied to the area of the ulcer or wound, after 2-5 hours it is removed, it is irradiated with a helium-neon or creptone laser at a flux density of 0.1-1.0 mW / cm and an exposure of 0.5-1. 0 min and again apply dressing with enzymes. The procedures are repeated 2–4 days before the appearance of pronounced granulations. In the absence of granulations, 4–5 days are carried out by homedermoplasty, and after the homotransplantation is rejected, autodermoplasty is performed.

Example 1. A patient is moistened with a bandage moistened with a 0.5% solution of a proteolytic enzyme, for example, territulinum, medical proteinas, protelin or prone, to a patient. After 2 h, the surface is removed and irradiated, the skin defect of a defocused helium-neon laser with a wavelength of 632.8 nm and a power density of 0.4 mW / cm for 0.5 min.

The procedures are repeated for 3 days. The surface of the ulcer was cleared of necrotic and purulent masses, and juicy granulations appeared on it. On day 4, autodermoplasty was performed with a skin graft. The enzymes are then canceled and irradiation continues until the defect is completely closed for 7-10 days.

Example 2. In a patient after performing enzyme-laser therapy at a flux density of 0.4 mW / cm for 0.5 min, no pronounced granulation appears. empty for 4-5 days spends homo-dermo Editor S. Patrushev

Compiled by M. Pozn to Tehred I.Veres

Order 5052/4 Circulation 660 Subscription

Vshipi State Committee of the USSR

for inventions and discoveries 113035, Moscow, Zh-35, Raushsk nab., 4/5

Production and printing company, Uzhgorod, st. Design, 4.

ten

584222

plastic and continue laser therapy. After rejection of the homotransplant, autodermoplasty is performed after 7–9 days. Laser therapy is continued until the defect is closed.

Example 3. A patient undergoes fermento-laser therapy with a light output of 1.0 mbt / cm for 0.5 min.

The procedures are repeated for 3 days. On day 4, autodermoplasty was performed with a skin graft. Enzymes are canceled, irradiation is continued until the defect is completely closed for 7-10 days.

Example 4. A patient is undergoing fermento-laser therapy with a luminous flux of 0 mW / cm for 1 min.

No marked granulation occurs in the patient. After 4-5 days, the homo-dermoplasty is performed and laser therapy is continued. After rejection of the homotransplant, autodermoplasty is performed after 7–9 days. Laserter-25 PUS continue until the defect is closed.

Irradiation of the entire wound with a defocused laser beam immediately reduces the duration of each session from 10-12 minutes in the known

15

20

the way to 0.5-1.0 min in the proposed. Due to the use in the preoperative period of proteolytic. The enzyme surface of the ulcer turns out to be well purified, which contributes to a more efficient biological effect of laser light and allows reducing the number of sessions of laser therapy from 6 in the known method to 2-4 in the proposed one. All this

leads to a reduction in the duration of treatment from 2 to 6 days.

When treating in a known manner, the complete closure of the skin defect occurs in 77.7% of cases, while treating

the proposed method - in 81.6%

2-6 days earlier. When using the proposed method with homodermoplasty, complete closure of the skin defect occurs in 90.4% of cases.

Corrector I. Muska

Claims (3)

1. METHOD OF TREATING ULCERS AND RAS by exposure to laser radiation followed by autodermoplasty, with the possibility that, in order to reduce treatment time, a proteolytic enzyme is applied additionally before and after each irradiation to the wound or ulcer until marked granulation, and irradiation is carried out at a power flux density of 0.1-1.0 mW / cm ² and an exposure of 0.5-1.0 min until the defect is completely healed. 2. The method of pop, characterized in that, in order to strengthen the regenerative processes in the absence of granulation, homodermoplasty is performed on day 4-5, and autodermoplasty is performed after rejection of the homograft. 3. The method according to π. 1, which differs from the fact that Nozdrastvo is carried out by radiation of a helium-neon or krypton laser. S. · ..- 1258422