SU1296177A1 - Method of treatment degenerative-distrophic and posttraumatic diseases of support and movement - Google Patents

Abstract

The invention makes it possible to shorten the treatment time for degenerative-dystrophic and post-traumatic diseases of the support and movement. A Kassirsky needle is inserted into a pathological focus, a mandrel is removed, a light guide is inserted through the needle, connected to a laser facility, and monochromatic polarized radiation is irradiated in the red region of the spectrum with a wavelength of 632 -1.4 mW / cm (radiation power 0.5-0.7 mW). The irradiation is carried out for 30-90 seconds with a repetition of the session after 48 hours. (Lu yu Ot)

Description

The invention relates to medicine, in particular to clinical medicine.

The purpose of the invention is to reduce the treatment time by irradiating the receptive floor of the affected bone tissue with laser radiation.

The method is carried out as follows.

 The patient is lying down, depending on the localization of the disease.

A Kassirsko- needle is inserted into a pathological bone lesion, the location of which is radiologically confirmed. go

The depth of insertion of the needle, for example, in the greater twist of the femoral bone by 10–20 mm, the distal metaepiphysis of the femur, by 8–10 mm, the proximal metaphiphysis of the tibia, by 4–10 mm.

After that, the mandrel is removed, a fiber is introduced through a needle, connected to a laser facility, and monochromatic polarized radiation is irradiated in the red region of the spectrum with a wavelength of 632.8 and a power density at the output of the optical system is 1.0-1.4 mW / cm, which corresponds to a radiation power of 0.5-0.7 mW.

The irradiation is carried out for 30- 90 s with a repetition of the irradiation session after 48 h.

Depending on the X-ray picture in the course of treatment, the irradiation field of the affected focus is changed (needle insertion area with a light guide).

Example. Patient B. Diagnosis by X-ray picture and clinical manifestations: right-sided deforming gonarthrosis.

At the beginning of the treatment process, the patient is determined with the initial parameters: the baryneptive sensitivity of the mechano-receptors of the affected bone tissue and the speed of propagation of ultrasonic bending waves.

The following initial data were obtained: the baroceptive sensitivity of mechanoreceptors at a pressure of 33.3 kPa, which corresponds to 250 mmHg, 0.25 ml / s, and the propagation speed of ultrasonic bending waves of 1456 m / s.

Then, in a prone position, under intraoral anesthesia with intraoral anesthesia in the medial epicondial area.

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the tibia is inserted into a Kassera needle.

Mandrin is removed and a light guide is inserted through the lumen of the needle.

The fiber is connected to the LG-72 irradiation unit and irradiated in the red spectrum with a wavelength of 632.8 nm with a power density of 1.0-1.4 mW / cm for 60 s.

After the first irradiation session, the following data was obtained: the baroceptive sensitivity of mechanoreceptors was 0.27 ml / s, the propagation velocity of ultrasonic bending waves was 1456 m / s.

After the first irradiation session of the bone receptive gender, the patient subjectively does not perceive laser irradiation. The evaluation indicators after a single irradiation session did not change significantly (the speed of propagation of ultrasonic bending waves did not change).

After that, 5 irradiation sessions were carried out and the following values of indicators for evaluating the effectiveness of treatment were obtained, the baroceptive sensitivity of mechanoreceptors was 0.31 ml / s, the propagation velocity of ultrasonic bending waves was 1642 m / s.

As can be seen, these indicators for evaluating the effectiveness are increased. This indicates a normalization of the function of bone tissue (a decrease in its baroceptic sensitivity).

In addition., The patient notes the disappearance of pain syndrome when walking, the mobility in the joint increased by 15f

On this occasion, the course of treatment was completed after 6 irradiation sessions.

In the study of the patient after 6 months. there was no need to repeat the treatment.

The proposed method makes it possible to shorten the terms of treatment of patients with osteo-articular diseases of a degenerative and dystrophic nature, as well as those suffering from posttraumatic changes in the structure of bone tissue in comparison with the known methods of treatment. An average of 5–8 irradiation sessions are provided per treatment (20–25 sessions of the prototype).

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Claims (1)

Invention Formula Method of treating degenerative-dystrophic and post-traumatic diseases3, 12961774 reliance on the support and movement is carried out every two impacts by radiation of helium-neon gas directly onto the affected laser, which is distinguished by the bone density at the power density, in order to reduce the treatment time of 1.0 -1.4 mW / cm for no, exposure to laser irradiation. 5 30-90 s.