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TRANSCRIPT
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ
ÊÀÇÀÕÑÒÀÍÀ
BULLETIN OF SURGERY
IN KAZAKHSTAN
¹ 3 (44) 2015
ISSN 2306-5559 (print)
ISSN 2410-938X (online)
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ
BULLETIN OF SURGERY IN KAZAKHSTAN
¹ 3 (44) 2015
Èçäàåòñÿ ñ 2005 ã.
ISSN 2306-5559 (print)
ISSN 2410-938X (online)
EDITOR IN CHIEF
Arzykulov Zh.A.,
DEPUTY
CHIEF EDITOR
Medeubekov U.Sh.,
dr. med., prof.
Ñåéñåìáàåâ Ì.À., Æóðàåâ Ø.Ø., Ìèåðáåêîâ Å.Ì., Èæàíîâ Å.Á., Øèðòàåâ Á.Ê.,
Ìóðàäîâ Ì.È., Åíèí Å.À..
Ñåéñåìáàåâ Ì.À., Æóðàåâ Ø.Ø., Ìèåðáåêîâ Å.Ì., Èæàíîâ Å.Á., Øèðòàåâ Á.Ê.,
Áàèìáåòîâ À.Ê.,
Ìóðàäîâ Ì.È., Åíèí Å.À..
EDITORIAL BOARD
Seisembayev Ì.À., Zhurayev Sh.Sh., Mierbekov Ye.Ì., Izhanov Ye.B., Shirtaev B.Ê., Kospanov N.À., Baimbetov À.Ê., Toksanbayev D.S., Muradov Ì.I., Yenin Å.À..
ÁÀÑ ÐÅÄÀÊÒÎÐ
Ìåäåóáåêîâ ¦.Ø.,
ì.ƒ.ä., ïðîôåññîð
ÇÀÌÅÑÒÈÒÅËÜ
ÃËÀÂÍÎÃÎ ÐÅÄÀÊÒÎÐÀ
Ìåäåóáåêîâ Ó.Ø.,
ä.ì.í., ïðîôåññîð
Susumu Eguchi
Wojciech Polak
Remzi Emiroglu
Bulent Oktay
Tamer Turan
Jeong Tae Kim
Âëàäèìèð Âèøíåâñêèé
Èâàí Ñòèëèäè
Îëåã Ðóììî
Hannu Kuokkanen
Ho-Seong Han
Mehmet Habera
Ìèãåððàìàëè Ìàìåäîâ
N.J. Lygidakis
Åíèí Å.À.
ÐÅÄÀÊÖÈÎÍÍÛÉ ÑÎÂÅÒ
Susumu Eguchi
Wojciech Polak
Remzi Emiroglu
Bulent Oktay
Tamer Turan
Jeong Tae Kim
Âëàäèìèð Âèøíåâñêèé
Èâàí Ñòèëèäè
Îëåã Ðóììî
Hannu Kuokkanen
Ho-Seong Han
Mehmet Habera
Ìèãåððàìàëè Ìàìåäîâ
N.J. Lygidakis
Yenin E.A.
EDITORIAL COUNCIL
Susumu Eguchi
Wojciech Polak
Remzi Emiroglu
Bulent Oktay
Tamer Turan
Jeong Tae Kim
Vladimir Vishnevsky
Ivan Stilidi
Oleg Rummo
Hannu Kuokkanen
Ho-Seong Han
Mehmet Habera
Migerramali Mamedov
N.J. Lygidakis
Æóðíàë çàðåãèñòðèðîâàí â Ìèíèñòåðñòâå èíôîðìàöèè, êóëüòóðû è ñïîðòà ÐÊ.
Ðåãèñòðàöèîííûé íîìåð:Âëàäåëåö æóðíàëà
Àäðåñ ðåäàêöèè:
Äèçàéí è âåðñòêà:ÄÀÍ ËÅÍÊÎ
Òèðàæ Îòâåòñòâåííîñòü çà ñîäåðæàíèå
ïóáëèêóåìûõ ìàòåðèàëîâ íåñóò àâòîðû.
Ìèíèñòðë³ã³íäå ò³ðêåëãåí. Ò³ðêåó íµì³ð³
Æóðíàëäûœ èåñ³
Áàñïàíûœ ìåêåí-æàéû:
ÄÀÍ ËÅÍÊÎ
Òàðàëûìà
àâòîðëàð æàóàïòû.
The journal is registered with the Ministry of Information, Culture and Sports of the Republic of Kazakhstan. Registration number:
The owner of the journal
Editorial address:
Design and lead out:ÄÀÍ ËÅÍÊÎ
Edition The authors are responsible for the content of
published materials.
Ïîäïèñíîé èíäåêñ ÊÀÇÏÎ×ÒÛ – 75327 Subscript index of KAZPOST – 75327
CONTENTSÑÎÄÅÐÆÀÍÈÅ
Àðçûêóëîâ Æ.À., Ìåäåóáåêîâ Ó.Ø.,
Øîïøåêáàåâà Ñ.Ø.
Àíàëèç ñîñòîÿíèÿ è ïåðñïåêòèâû
âûñîêîñïåöèàëèçèðîâàííîé
ìåäèöèíñêîé ïîìîùè
â Ðåñïóáëèêå Êàçàõñòàí . . . . . . . . . . . .5
Äæóìàáåêîâ À.Ò., Àáóîâ Ñ.Ì., Æàðìåíîâ Ñ.Ì.,
Êàëûìáåòîâ Ð.Á., Æîðàåâ Ò.Ñ.,
Àðòûêáàåâ À.Æ.
Ñèìóëÿöèîííîå îáó÷åíèå íà òðåíàæåðå
LapSim . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ÄÈÀÃÍÎÑÒÈÊÀ
Àëåêïåðîâà Ø.Í., Øàõâåðäèåâ È.Í.
Ñâÿçü ðàêà ñ äîìèíàíòíûì óçëîì ó
áîëüíûõ, êîòîðûì ïðîâåäåíà òîòàëüíàÿ
òèðåîèäýêòîìèÿ ïî ïîâîäó óçëîâîãî
çîáà è óñòàíîâëåí äèàãíîç: ðàê ùèòî-
âèäíîé æåëåçû . . . . . . . . . . . . . . . . 13
Àëûáàåâ Ý.Ó., Àøèðêóëîâ Ç.Ò., Àëûáàåâ Ì.Ý.
Ýíäîñêîïè÷åñêàÿ êàðòèíà îïåðèðî-
âàííîãî æåëóäêà, îñëîæíåííîãî ïåð-
ôîðàöèåé ïîñëå ðàçëè÷íûõ âàðèàíòîâ
îïåðàòèâíîãî âìåøàòåëüñòâà â ðàííåì
ïîñëåîïåðàöèîííîì ïåðèîäå. . . . . . . 18
Åíèí Å., Ïèñìàðåâà À.
×ðåñêîæíàÿ òîíêîèãîëüíàÿ áèîïñèÿ
ïðè äèàãíîñòèêå äèñôóíêöèè
ïî÷å÷íîãî òðàíñïëàíòàòà:
íàø îïûò
ïðèìåíåíèÿ Banff-êëàññèôèêàöèè . . . 21
Çàâüÿëîâà Ì.Þ.
ÌÐ-ýíòåðîãðàôèÿ ïðè
áîëåçíè Êðîíà. . . . . . . . . . . . . . . . . .25
Ãóñåéíîâ À.Â.
Ïðîôèëàêòèêà ãíîéíî-âîñïàëèòåëüíûõ
îñëîæíåíèé ïîñëå õîëåöèñòýêòîìèè
ïðè êîðè÷íåâûõ êàìíÿõ â æåë÷íîì
ïóçûðå ñ äåñòðóêòèâíûìè
èçìåíåíèÿìè. . . . . . . . . . . . . . . . . . .29
Êàñóìîâ Í.À., Ìàìåäîâ Ì.Ì., Ìàìåäîâ Ø.Ê.
Ýôôåêòèâíîñòü ïðèìåíåíèÿ íèçêîèí-
òåíñèâíîãî ëàçåðíîãî èçëó÷åíèÿ â ñî÷å-
òàíèå ñ àíòèîêñèäàíòîì-àðãîñóëüôàíîì
ïðè òåðìè÷åñêîì îæîãå êîæè . . . . . . .35
Ìóðàäîâ Ì.È., Ñàéê Ï.Þ., Ñàäûêîâ Ò.À.,
Ìóõàìåäêåðèì Ê.Á., Áàéãóçåâà À.À.
Îïûò ìèêðîõèðóðãè÷åñêîãî ëå÷åíèÿ
äåôåêòîâ êîñòåé ïðåäïëå÷üÿ ïóòåì ïðè-
ìåíåíèÿ âàñêóëÿðèçèðîâàííîãî ìàëîáåð-
öîâîãî àóòîòðàíñïëàíòàòà. . . . . . . . . . . 41
HEALTH CARE ORGANIZATION
Arzykulov Zh.A., Medeubekov U.Sh.,
Shopshekbayeva S.Sh.
Analysis of the status
and prospects
of tertiary care
in the Republic of Kazakhstan. . . . . . . .5
Djumabekov A.T., Zhoraev T.S., Artykbaev A.J.,
Abuov S.M., Zharmenov S.M.,
Kalymbetov R.B.
Simulation training on the LapSim
simulator . . . . . . . . . . . . . . . . . . . . . . . . . 9
DIAGNOSTICS
Akekperova Sh.I., Shakhverdiyev I.N.
The association of cancer with
dominant node in patients
with total thyroidectomy for
node goiter and establishment
of thyroid cancer. . . . . . . . . . . . . . . . . 13
Alybayev E.U., Ashirkulov Z.T., Alybayev M.E.
Endoscopic picture of ventricle
operated with complicated perforation
after various options of operative
intervention in the early postoperative
period . . . . . . . . . . . . . . . . . . . . . . . . 18
Enin E., Pismareva A.
Percutaneous needle core biopsy
at diagnostics of renal allograft
dysfunction: our experience
in application
of Banff-classification. . . . . . . . . . . . . 21
Zavyalova Ì.Y.
of Crohn’s disease . . . . . . . . . . . . . . .25
SURGERY
Guseinov A.V.
Prevention of pyoinflammatory
complications after
cholecystectomy for brown stones
in the gallbladder with destructive
changes . . . . . . . . . . . . . . . . . . . . . . .29
Kasumov N.A., Mamedov M.M., Mamedov Sh.K.
Efficiency of application low intensity
laser radiation in combination with
antioxidants - argosulphan at thermal burn
of skin . . . . . . . . . . . . . . . . . . . . . . . .35
Muradov M., Saik P., Sadykov T.,
Mukhamedkerim K., Bayguzeva A.
Experience of microsurgical
treatment of bone defects by
applying a forearm vascularized
fibular autograft . . . . . . . . . . . . . . . . . . . 41
صïøåêáàåâà Ñ.Ø.
ïåðñïåêòèâàëàðû . . . . . . . . . . . . . . . .5
LapSim òðåíàæåðäåãi ñèìóëÿöèÿñû
‰éðåòóëåði. . . . . . . . . . . . . . . . . . . . . . . . 9
ÄÈÀÃÍÎÑÒÈÊÀ
Àëåêïåðîâà Ø.Í., Øàõâåðäèåâ È.Í.
íûñû. . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Åðòå îïåðàöèÿäàí êåé³íã³ ìåðç³ìäå
. . 18
Åíèí Å., Ïèñìàðåâà À.
Á‰éðåêò³ òðàíñïëàíòàòòàó äèôóíêöèÿñûí
äèàãíîñòèêàëàó êåç³íäåã³ òåð³àñòû
. . . . . . . . . . . . . . . . . . . . 21
Çàâüÿëîâà Ì.Þ.
ýíòåðîãðàôèÿñû . . . . . . . . . . . . . . . .25
Ãóñåéíîâ À.Â.
Äåñòðóêòèâò³ µçãåð³ñòåð³ìåí µò
-
ôèëàêòèêàñû . . . . . . . . . . . . . . . . . . .29
Êàñóìîâ Í.À., Ìàìåäîâ Ì.Ì., Ìàìåäîâ Ø.Ê.
-
. . . . . . . . . . .35
åìäåó³ . . . . . . . . . . . . . . . . . . . . . . . . 41
3BULLETIN OF SURGERY IN KAZAKHSTAN
Ìóñëèìîâ Ã.Ô., Þñèôîâà À.Í., Àëèåâà Ã.Ð.
ãàñòîýçîôàãåàëäû ðåôëþêñòû àóðóäû
ôóíäîïëèêàöèÿëàó. . . . . . . . . . . . . . .47
Ñàƒàòîâ ².Å., Àáäèëîâà Ã.Á., Áåðäèìóðàòîâà Æ.Ñ.
äèíàìèêàñû. . . . . . . . . . . . . . . . . . . .55
Ïàíãèðååâ Ä.Ä.
. . . . . . . . 59
Ãàñàíîâ Ô.Ä., Àñëàíîâ À.À., Íàìàçîâà Ê.Í.,
Àááàñîâà Ì.Ò., Àñêåðîâà Ã.À., Ìóñàåâà Í.Ç.,
Êåðèìîâà Ã.Ì.
. . 63
ÏÐÅÏÀÐÀÒÒÀÐ
ôóíêöèÿñû . . . . . . . . . . . . . . . . . . . .70
Ìóñëèìîâ Ã.Ô., Þñèôîâà À.Í., Àëèåâà Ã.Ð.
Ëàïàðîñêîïè÷åñêàÿ ôóíäîïëèêàöèÿ ïî
Íèññåíó â àðñåíàëå õèðóðãè÷åñêîãî ëå-
÷åíèÿ ãàñòîýçîôàãåàëüíîé ðåôëþêñíîé
áîëåçíè, îñëîæíåííîé Áàððåòò-ýçîôà-
ãèòîì. . . . . . . . . . . . . . . . . . . . . . . . .47
Ñàãàòîâ È.Å., Àáäèëîâà Ã.Á., Áåðäèìóðàòîâà Æ.Ñ.
Äèíàìèêà of u-NGAL ó ïàöèåíòîâ êàð-
äèîõèðóðãè÷åñêîãî ïðîôèëÿ â ðàííåì
ïîñëåîïåðàöèîííîì ïåðèîäå. . . . . . .55
Äåìåóîâ Ò.Í., Àêàíîâ Å.Ê., Ìàòêåðèìîâ À.Æ.,
Æàêóáàåâ Ì.À., Òåðãåóñèçîâ À.Ñ.,
Ïàíãèðååâ Ä.Ä.
Ýíäîâàñêóëÿðíàÿ õèðóðãèÿ ðåíîâàñêóëÿð-
íîé ãèïåðòåíçèè . . . . . . . . . . . . . . . . . . 59
Ãàñàíîâ Ô.Ä., Àñëàíîâ À.À., Íàìàçîâà Ê.Í.,
Àááàñîâà Ì.Ò., Àñêåðîâà Ã.À., Ìóñàåâà Í.Ç.,
Êåðèìîâà Õ.Ì.
Êîððåëÿòèâíàÿ ñâÿçü êëèíèêè êîìáèíè-
ðîâàííîé èíòóáàöèîííîé ýïèäóðàëüíîé
àíåñòåçèè ñ òèïîì âåãåòàòèâíîé íåðâíîé
ñèñòåìû . . . . . . . . . . . . . . . . . . . . . .63
Êàëêàáàåâ Æ.Ê., Íóðãîæèí Å.À., Èáðàåâà Ñ.Å.,
Áàéìóõàíîâ Ð.Ì., Êèñïàåâà Ò.Ò.
Ïðåâåíòèâíî – òåðàïåâòè÷åñêàÿ êîððåê-
öèÿ êîãíèòèâíîé ñôåðû ó áîëüíûõ
â îñòðîì ïåðèîäå öåðåáðàëüíîãî èí-
ñóëüòà . . . . . . . . . . . . . . . . . . . . . . . .70
Muslimov G.F, Yusifova A.N., Aliyeva G.R.
Laparoscopic nissen fundoplication
in the treatment of
gastroesophageal reflux
disease complicated Barrett’s
esophagus . . . . . . . . . . . . . . . . . . . . .47
Sagatov I.Ye., Abdilova G.B., Berdimuratova Zh.S.
Dynamic of u-NGAL in cardiac
surgical patients in the early
postoperative period . . . . . . . . . . . . . .55
Khanchi Ì., Kospanov N.A., Ormanov B.K.,
Demeuov T.N., Akanov E.K., Matkerimov A.Zh.,
Zhakubayev M.A., Tergeussizov A.S.,
Pangireyev D.D.
The endovascular surgery of renovascular
hypertension . . . . . . . . . . . . . . . . . . . . . 59
ANESTHESIOLOGY AND INTENSIVE CARE
Hasanov F.D., Aslanov A.A., Namazova K.N.,
Abbasova M.T., Askerova G.A., Musayeva N.Z.,
Kerimova H.M.
Correlative links of clinics of
combined epidural endotracheal
anesthesia with type of autonomic
nervous system . . . . . . . . . . . . . . . . .63
DRUGS
Kalkabaev J.C., Nurgozhin E.A., Ibrayeva S.E.,
Baimukhanov R.M., Kispaeva T.T.
The preventive-therapeutic
correction of cognitive
sphere in the acute period
of cerebral stroke . . . . . . . . . . . . . . . .70
CONTENTSÑÎÄÅÐÆÀÍÈÅ
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 4
BULLETIN OF SURGERY IN KAZAKHSTAN 5
ÏÎÌÎÙÈ Â ÐÅÑÏÓÁËÈÊÅ ÊÀÇÀÕÑÒÀÍ
Àííîòàöèÿ
 ñâÿçè, âî èñïîëíåíèå Ãîñóäàðñòâåííîé ïðîãðàììû ðàçâèòèÿ çäðàâîîõðàíåíèÿ ÐÊ «Ñàëàìàòòû
Êàçàõñòàí» ðàçðàáîòàíà Êîíöåïöèÿ ðàçâèòèÿ âûñîêîñïåöèàëèçèðîâàííîé ìåäèöèíñêîé ïîìîùè íà
2011-2015 ãîäû, öåëüþ êîòîðîé ÿâëÿåòñÿ ðåàëèçàöèÿ ìåðîïðèÿòèé ïî îáåñïå÷åíèþ ãðàæäàí ñòðàíû
äîñòóïíîé è êà÷åñòâåííîé ÂÑÌÏ, îñíîâàííîé íà ìåæäóíàðîäíûõ ñòàíäàðòàõ êà÷åñòâà è áåçîïàñíîñòè.
 èòîãå, ðåàëèçàöèÿ ìåðîïðèÿòèé Êîíöåïöèè ïîçâîëèò ðåøèòü ïðîáëåìíûå âîïðîñû ÂÑÌÏ: óñîâåð-
øåíñòâîâàòü îðãàíèçàöèþ îêàçàíèÿ è ðàñøèðèòü òðàíñôåðò ÂÑÌÏ â ðåãèîíû, ñîçäàòü ñèñòåìó îòáîðà
òåõíîëîãèé ÂÑÌÏ ñ äîêàçàííîé ýôôåêòèâíîñòüþ è áåçîïàñíîñòüþ èõ ïðèìåíåíèÿ, ïîâûñèòü êîîðäè-
íèðóþùóþ è íàïðàâëÿþùóþ ðîëü ïðîôèëüíûõ ÍÈÈ, ÍÖ è ÂÓÇîâ â ðàçâèòèè ñèñòåìû ÂÑÌÏ..
Êëþ÷åâûå ñëîâà âûñîêîñïåöèàëèçèðîâàííàÿ
ìåäèöèíñêàÿ ïîìîùü,
òðàíñôåðò òåõíîëîãèé,
õèðóðãè÷åñêàÿ ñëóæáà.
Àðçûêóëîâ Æ.À., Ìåäåóáåêîâ Ó.Ø., Øîïøåêáàåâà Ñ.Ø.
-
-
Abstract
In this regard, pursuant to the State program of Health of Kazakhstan «Salamatty Kazakhstan» Concept
of development of tertiary care for 2012-2015, the purpose of which is to implement measures to ensure
its citizens affordable and high-quality tertiary care, based on international standards of quality and safety.
As a result, the implementation of the Concept will allow to solve the problematic issues of tertiary care: to
improve the organization and expand the provision of tertiary care in the regions of the transfer, create a
system of screening technology tertiary care with proven efficacy and safety of their application, to improve
coordination and guiding role of specialized research institutes, universities and NC in the development of
tertiary care .
Analysis of the status and prospects of tertiary care in the Republic of Kazakhstan
Ò‰é³í ñµçäåðæîƒàðû ìàìàíäàíäûðûëƒàí
òåõíîëîãèÿëàðäû òðàíñôåðòòåó,
Key words highly specialized medical assistance, technology transfer, the surgical service.
ÎÁ ÀÂÒÎÐÀÕ:
-
âè÷ – Ïðåäñåäàòåëü ïðàâëåíèÿ
ä.ì.í., ïðîôåññîð, àêàäåìèê
ÍÀÍ ÐÊ;
-
ðîâè÷ – çàìåñòèòåëü ïðåä-
èì. À.Í. Ñûçãàíîâà», ä.ì.í.,
ïðîôåññîð;
– çàâåäóþùàÿ
ÍÍÖÕ èì. Ñûçãàíîâà, âðà÷ âûñ-
øåé êàòåãîðèè.
-
- «À.Í. Ñûçƒàíîâ
ïðîôåññîð;
- À.Í.
ABOUT THE AUTHORS:
Zhetkergen A. Arzykulov
- Chairman of the Board of
JSC «NSCS named after A.N.
Syzganov», dr. med., professor,
academician of NAS RK;
Ulukbek Sh. Medeubekov -
Deputy Chairman of the Board
of JSC “NSCS named after A.N.
Syzganov”, dr. med., professor;
Semeigul Sh. Shopshekbayeva
– Head of the NSCS n/a Syzganov,
a high level certificate physician.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 6
Âñåãî ïðîëå÷åíî
áîëüíûõèç íèõ ÂÑÌÏ â %
2013 2014 2013 2014 2013 2014
Ðåñïóáëèêà Êàçàõñòàí
Àêìîëèíñêàÿ
Àêòþáèíñêàÿ
Àëìàòèíñêàÿ
Àòûðàóñêàÿ
Â-Êàçàõñòàíñêàÿ
Æàìáûëñêàÿ
Ç-Êàçàõñòàíñêàÿ
Êàðàãàíäèíñêàÿ
Êûçûëîðäèíñêàÿ
Êîñòàíàéñêàÿ
Ìàíãèñòàóñêàÿ
Ïàâëîäàðñêàÿ
Ñ-Êàçàõñòàíñêàÿ
Þ-Êàçàõñòàíñêàÿ
ã. Àëìàòû
ã. Àñòàíà
Òàáëèöà 1
BULLETIN OF SURGERY IN KAZAKHSTAN 7
Ðèñóíîê 1.
Âûâîäû
Îðãàíèçàöèÿ ÂÑÌÏ (àáñ. ÷èñ.) ÂÑÌÏ (%)
ã. Àëìàòû
ã. Àñòàíà
Âñåãî:
Òàáëèöà 2
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 8
Ëèòåðàòóðà References
BULLETIN OF SURGERY IN KAZAKHSTAN 9
Àííîòàöèÿ
 ñòàòüå ïðåäñòàâëåíî ýôôåêòèâíîñòü ñèìóëÿöèîííîãî îáó÷åíèÿ íà òðåíàæåðå LapSim. Íàìè áûëè èç-
ó÷åíû èñòîðèè áîëüíûõ ïîñòóïèâøèõ â ïëàíîâîì ïîðÿäêå íà ëàïàðîñêîïè÷åñêóþ õîëåöèñòýêòîìèþ. 2011-
2012 ãã èçó÷åíî 18 èñòîðèé áîëåçíåé, ãäå 3 ðåçèäåíòîâ âûïîëíÿëè àññèñòèðîâàíèå íà ëàïàðîñêîïè÷åñêîé
õîëåöèñòýêòîìèè áåç ïðåäâàðèòåëüíîãî îáó÷åíèÿ íà âèðòóàëüíîì ñèìóëÿòîðå LapSim. 2013-2014 ãã èçó÷åíî
16 èñòîðèé áîëåçíåé, ãäå 3 ðåçèäåíòîâ âûïîëíÿëè àññèñòèðîâàíèå íà ëàïàðîñêîïè÷åñêîé õîëåöèñòýêòîìèè
ñ ïðåäâàðèòåëüíûì îáó÷åíèåì íà âèðòóàëüíîì ñèìóëÿòîðå LapSim. Èñïîëüçîâàíèå âèðòóàëüíîãî òðåíàæå-
ðà-ñèìóëÿòîðà LapSim® â ó÷åáíîì ïðîöåññå ñóùåñòâåííî, â 2-3 ðàçà ñíèæàåò êîëè÷åñòâî îøèáîê, êîòîðûå
äîïóñêàþò íà÷èíàþùèå õèðóðãè ïðè âûïîëíåíèè ñâîèõ ïåðâûõ ëàïàðîñêîïè÷åñêèõ îïåðàöèé.
Êëþ÷åâûå ñëîâà ñèìóëÿöèîííîå îáó÷åíèå,
âèðòóàëüíûé òðåíàæåð, LapSim.
Äæóìàáåêîâ À.Ò., Àáóîâ Ñ.Ì., Æàðìåíîâ Ñ.Ì., Êàëûìáåòîâ Ð.Á., Æîðàåâ
Ò.Ñ., Àðòûêáàåâ À.Æ..
-
Abstract
The article presents the effectiveness of simulation training on the LapSim simulator. We studied the history
of patients enrolled in a planned manner for laparoscopic cholecystectomy. 2011-2012 studied 18 of case
histories where 3 residents performed assisting at laparoscopic cholecystectomy without prior training on virtual
simulator LapSim. 2013-2014 studied 16 case histories where 3 residents performed assisting at laparoscopic
cholecystectomy with pre-training on virtual simulator LapSim. The use of virtual simulator LapSim® in the learning
process considerably, 2-3 times reduces the number of mistakes made by novice surgeons in the performance of
their first laparoscopic operations.
LapSim òðåíàæåðäåãi ñèìóëÿöèÿñû ‰éðåòóëåði
Simulation training on the LapSim simulator
Kalymbetov R.B.
Ò‰é³í ñµçäåð
æàòòûƒó, LapSim.
Key words simulation training, virtual trainer, LapSim.
ABOUT THE AUTHORS:
Àueskhan T. Djumabekov - head of the
Department of Surgery with the course of Thoracic
Surgery and Coloproctology of the KazMUCE,
e-mail: [email protected], tel. 87017414437;
Sapar M. Abuov - Associate Professor of Surgery
Department with the course of Thoracic Surgery
and Coloproctology of the KazMUCE, e-mail:
[email protected], tel. 87013720109;
Samat M. Zharmenov - Associate Professor of
Surgery Department with the course of Thoracic
Surgery and Coloproctology of the KazMUCE,
e-mail: [email protected], tel. 87017393635;
Rakhmanberdi B. Kalymbetov - Associate
Professor of Surgery Department with the course
of Thoracic Surgery and Coloproctology of the
KazMUCE, e-mail: [email protected], tel.
87076835072;
Tagabai S. Zhoraev - Associate Professor of
Surgery Department with the course of Thoracic
Surgery and Coloproctology of the KazMUCE,
e-mail: [email protected], tel. 87014732215;
Adilbek J. Artykbaev - assistant of Surgery
Department with the course of Thoracic Surgery
and Coloproctology of the KazMUCE, e-mail:
[email protected], ñîò. òåë. 87026902995.
[email protected], òåë. 87017414437;
[email protected], òåë. 87013720109;
[email protected], òåë. 87017393635;
-
-
e-mail: [email protected], òåë. 87076835072;
[email protected], òåë. 87014732215;
[email protected], òåë. 87026902995.
ÎÁ ÀÂÒÎÐÀÕ:
– Àëìàòèíñêèé
ãîñóäàðñòâåííûé èíñòèòóò óñîâåðøåíñòâîâàíèÿ
âðà÷åé, çàâåäóþùèé êàôåäðîé õèðóðãèè ñ êóðñàìè
òîðàêàëüíîé õèðóðãèè è êîëîïðîêòîëîãèè, e-mail:
[email protected], òåë. 87017414437;
- Àëìàòèíñêèé ãîñó-
äàðñòâåííûé èíñòèòóò óñîâåðøåíñòâîâàíèÿ âðà÷åé,
äîöåíò êàôåäðû õèðóðãèè ñ êóðñàìè òîðàêàëüíîé
õèðóðãèè è êîëîïðîêòîëîãèè, e-mail: hirurgia.agiuv@
mail.ru, òåë. 87013720109;
- Àëìàòèíñêèé
ãîñóäàðñòâåííûé èíñòèòóò óñîâåðøåíñòâîâàíèÿ
âðà÷åé, äîöåíò êàôåäðû õèðóðãèè ñ êóðñàìè
òîðàêàëüíîé õèðóðãèè è êîëîïðîêòîëîãèè, e-mail:
[email protected], òåë. 87017393635;
- Àëìà-
òèíñêèé ãîñóäàðñòâåííûé èíñòèòóò óñîâåðøåíñòâî-
âàíèÿ âðà÷åé, äîöåíò êàôåäðû õèðóðãèè ñ êóðñàìè
òîðàêàëüíîé õèðóðãèè è êîëîïðîêòîëîãèè, e-mail:
[email protected], òåë. 87076835072;
– Àëìàòèíñêèé
ãîñóäàðñòâåííûé èíñòèòóò óñîâåðøåíñòâîâàíèÿ
âðà÷åé, äîöåíò êàôåäðû õèðóðãèè ñ êóðñàìè òîðà-
êàëüíîé õèðóðãèè è êîëîïðîêòîëîãèè, e-mail: hirurgia.
[email protected], òåë. 87014732215;
- Àëìàòèíñêèé
ãîñóäàðñòâåííûé èíñòèòóò óñîâåðøåíñòâîâàíèÿ
âðà÷åé, àññèñòåíò êàôåäðû õèðóðãèè ñ êóðñàìè
òîðàêàëüíîé õèðóðãèè è êîëîïðîêòîëîãèè, e-mail:
[email protected], òåë. 87026902995.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 10
BULLETIN OF SURGERY IN KAZAKHSTAN 11
Ëèòåðàòóðà
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 12
References
BULLETIN OF SURGERY IN KAZAKHSTAN 13
II. ÄÈÀÃÍÎÑÒÈÊÀ
Àííîòàöèÿ
Ðåçóëüòàòû èññëåäîâàíèÿ ïîêàçûâàþò, ÷òî â ñëó÷àå ïðîâåäåíèÿ òîíêîèãîëüíîé àñïèðàöèîííîé
ïóíêöèîííîé áèîïñèè (ÒÀÏÁ) òîëüêî â äîìèíàíòíîì óçëå áîëüøå ïîëîâèíû î÷àãîâ ðàêà ùèòîâèäíîé
æåëåçû, à â ñëó÷àå ïðîâåäåíèÿ ëîáýêòîìèè òîëüêî â äîëå äîìèíàíòíîãî óçëà îäíà òðåòüÿ î÷àãîâ ìîæåò
áûòü ïðîïóùåíà. Áûëî âûñêàçàíî ïðåäïîëîæåíèå î öåëåñîîáðàçíîñòè ïðîâåäåíèÿ ÒÀÏÁ, ïî êðàéíåé
ìåðå, åùå îäíîãî ïîäîçðèòåëüíîãî óçëà ïîìèìî äîìèíàíòíîãî (îñîáåííî â ñëó÷àå, åñëè â ïðîòèâî-
ïîëîæíîé äîëå èìååòñÿ ïîäîçðèòåëüíûé óçåë), à òàêæå ïðèíÿòèÿ âî âíèìàíèå òîòàëüíîé òèðåîèäýê-
òîìèè èç-çà âûñîêîé âåðîÿòíîñòè ìíîãîî÷àãîâîñòè ó áîëüíûõ ñ ïîäîçðåíèåì íà ïàïèëëÿðíûé ðàê.
Êëþ÷åâûå ñëîâà äîìèíàíòíûé óçåë, ðàê
ùèòîâèäíîé æåëåçû, òîòàëüíàÿ
òèðåîèäýêòîìèÿ.
Àëåêïåðîâà Ø.Í., Øàõâåðäèåâ È.Í.
Abstract
The findings show that in case of thin-needle aspiration paracentetic biopsy (TAPB) administration in
dominant node there are more than half of thyroid cancer foci may be omitted. In case of lodectomy only
in the lobe of dominant node 1/3 of foci may be omitted. It is proposed a policy led to the administration of
TAPB, at least in more than one suspected node except dominant (especially in case if there is a suspicious
node in the opposite side). And it is also important to consider total thyroidectomy because of high evidence
of multifocal cases in patients with suspicious papillary cancer.
îáûðìåí áàéëàíûñû
The association of cancer with dominant node in patients with total thyroidectomy for
node goiter and diagnose of thyroid cancer
Àëåêïåðîâà Ø.Í., Øàõâåðäèåâ È.Í.
Akekperova Sh.I., Shakhverdiyev I.N.
Ò‰é³í ñµçäåð
æàñàó.
Key words Dominant nodule, thyroid cancer, total thyroidectomy.
ÎÁ ÀÂÒÎÐÀÕ:
êûçû,
ABOUT THE AUTHORS:
Shakhla I. Alekperova,
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 14
Ââåäåíèå
Öåëüþ èññëåäîâàíèÿ
Ìàòåðèàë è ìåòîäû:
Ïîëó÷åííûå ðåçóëüòàòû:
±
±
±
BULLETIN OF SURGERY IN KAZAKHSTAN 15
Îáñóæäåíèå ïîëó÷åííûõ ðåçóëüòàòîâ:
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 16
Ëèòåðàòóðà
BULLETIN OF SURGERY IN KAZAKHSTAN 17
References
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 18
Keywords ventricle, endoscopy, stenosing
ulcer, pyloroduodenoplasty,
perforation.
Ò‰é³í ñµçäåð
æàðà, ïèëîðîäóîäåíîïëàñòèêà,
ïåðôîðàöèÿ.
Êëþ÷åâûå ñëîâàæåëóäîê, ýíäîñêîïèÿ, ñòåíîçè-
ðóþùàÿ ÿçâà, ïèëîðîäóîäåíî-
ïëàñòèêà, ïåðôîðàöèÿ.
ENDOSCOPIC PICTURE OF VENTRICLE OPERATED
VARIOUS OPTIONS OF OPERATIVE INTERVENTION
IN THE EARLY POSTOPERATIVE PERIOD
II. ÄÈÀÃÍÎÑÒÈÊÀ
Abstract
The results of endoscopic assessment of state of the operated ventricle in patients with stenosing ulcer,
combined with perforations, in the early stages after surgery showed that one of the main reasons for
motor-evacuation function of the stomach after palliative and radical surgery is the development of an acute
inflammatory response in the area of pyloroduodenoplasty or sutured ulcer. Therefore, the technique and
choice of operating patients in this group have a great influence on the postoperative course and condition
of evacuation function of the stomach.
-
-
Àííîòàöèÿ
Ïîëó÷åííûå ðåçóëüòàòû ýíäîñêîïè÷åñêîé îöåíêè ñîñòîÿíèÿ îïåðèðîâàííîãî æåëóäêà ó áîëüíûõ
ñòåíîçèðóþùåé ÿçâîé, ñî÷åòàþùåéñÿ ñ ïåðôîðàöèåé, â ðàííèå ñðîêè ïîñëå îïåðàòèâíîãî âìåøà-
òåëüñòâà ïîêàçàëè, ÷òî îäíîé èç ãëàâíûõ ïðè÷èí ìîòîðíî-ýâàêóàòîðíîé ôóíêöèè æåëóäêà ïîñëå ïàëè-
àòèâíûõ è ðàäèêàëüíûõ îïåðàöèé ÿâëÿåòñÿ ðàçâèòèå îñòðîé âîñïàëèòåëüíîé ðåàêöèè â çîíå ïèëîðî-
äóîäåíîïëàñòèêè èëè óøèòîé ÿçâû. Ñëåäîâàòåëüíî, òåõíèêà è âûáîð ìåòîäà îïåðèðîâàíèå ó áîëüíûõ
ýòîé ãðóïïû îêàçûâàþò áîëüøîå âëèÿíèå íà ïîñëåîïåðàöèîííîå òå÷åíèå è ñîñòîÿíèå ýâàêóàòîðíîé
ôóíêöèè æåëóäêà.
Ýíäîñêîïè÷åñêàÿ êàðòèíà îïåðèðîâàííîãî æåëóäêà îñëîæíåííîé ïåðôîðàöèåé
ïîñëå ðàçëè÷íûõ âàðèàíòîâ îïåðàòèâíîãî âìåøàòåëüñòâ â ðàííåì
ïîñëåîïåðàöèîííîì ïåðèîäå
Àëûáàåâ Ý.Ó., Àøèðêóëîâ Ç.Ò., Àëûáàåâ Ì.Ý.
ABOUT THE AUTHORS:
Ernis U. Alybaev - head of the
surgical department of the NSC of
KR, dr. med., prof.,
e-mail: [email protected],
tel. 0312218890.
ÎÁ ÀÂÒÎÐÀÕ:
- çà-
âåäóþùèé õèðóðãè÷åñêèì îòäåëå-
íèåì ÍÖÕ ÊÐ, ä.ì.í., ïðîôåññîð,
e-mail: [email protected],
òåë. 0312218890
e-mail: [email protected],
òåë. 0312218890
BULLETIN OF SURGERY IN KAZAKHSTAN 19
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 20
References
BULLETIN OF SURGERY IN KAZAKHSTAN 21
Keywords renal allograft biopsy, related
transplantations, renal allograft
rejection, lifetime morphological
research.
Ò‰é³í ñµçäåð-
-
-
ãíîñòèêàñû.
Êëþ÷åâûå ñëîâàáèîïñèÿ ïî÷å÷íîãî òðàíñïëàí-
òàòà, ðîäñòâåííàÿ òðàíñ-
ïëàíòàöèÿ, êðèçû îòòîðæåíèÿ
ïî÷å÷íîãî òðàíñïëàíòàòà, ïðè-
æèçíåííàÿ ìîðôîëîãè÷åñêàÿ
äèàãíîñòèêà.
PERCUTANEOUS NEEDLE CORE BIOPSY
AT DIAGNOSTICS OF RENAL ALLOGRAFT
DYSFUNCTION: OUR EXPERIENCE IN APPLICATION
OF BANFF-CLASSIFICATION
II. ÄÈÀÃÍÎÑÒÈÊÀ
Abstract
In the given publication the results of researches showing a share and character of morphological
changes in kidneys with application of Banff-classification at lifetime morphological diagnostics of renal
allograft rejection are reflected. Research is carried out by studying bioptates in 31 cases at allograft
rejection at related transplantation of a kidney.
Enin E., Pismareva A.
Àííîòàöèÿ
 äàííîé ïóáëèêàöèè îòðàæåíû ðåçóëüòàòû èññëåäîâàíèé, äåìîíñòðèðóþùèå äîëþ è õàðàêòåð
ìîðôîëîãè÷åñêèõ èçìåíåíèé â ïî÷êàõ ñ ïðèìåíåíèåì Banff-êëàññèôèêàöèè ïðè ïðèæèçíåííîé ìîð-
ôîëîãè÷åñêîé äèàãíîñòèêå êðèçîâ îòòîðæåíèÿ òðàíñïëàíòàòà. Èññëåäîâàíèå ïðîâåäåíî ïóòåì èçó÷å-
íèÿ áèîïòàòîâ â 31 ñëó÷àå êðèçîâ îòòîðæåíèÿ ïðè ðîäñòâåííîé òðàíñïëàíòàöèè ïî÷êè.
Á‰éðåêò³ òðàíñïëàíòàòòàó äèôóíêöèÿñûí äèàãíîñòèêàëàó êåç³íäåã³ òåð³àñòû
×ðåñêîæíàÿ òîíêîèãîëüíàÿ áèîïñèÿ ïðè äèàãíîñòèêå äèñôóíêöèè ïî÷å÷íîãî
òðàíñïëàíòàòà: íàø îïûò ïðèìåíåíèÿ Banff-êëàññèôèêàöèè
Åíèí Å., Ïèñìàðåâà À.
Åíèí Å., Ïèñìàðåâà À.
ÎÁ ÀÂÒÎÐÀÕ:
–
çàâåäóþùèé ïàòîëîãîàíàòîìè÷å-
ñêîé ëàáîðàòîðèåé, âðà÷ âûñøåé
êàòåãîðèè, e-mail: [email protected]
-
ìèðîâíà – âðà÷-ïàòîëîãîàíàòîì,
e-mail: anastasiyapismareva@
mail.ru
ABOUT THE AUTHORS:
Evgeny A. Enin
ïàòîëîãàíàòîì
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 22
Fig. 1.
Fig. 2.
Fig.1.
Fig.1.
BULLETIN OF SURGERY IN KAZAKHSTAN 23
Fig. 3.
Fig. 4.
Fig. 5.
Fig.4.
Fig.5.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 24
References
BULLETIN OF SURGERY IN KAZAKHSTAN 25
II. ÄÈÀÃÍÎÑÒÈÊÀ
Àííîòàöèÿ
Áîëåçíü Êðîíà ÿâëÿåòñÿ õðîíè÷åñêèì èäèîïàòè÷åñêèì âîñïàëèòåëüíûì çàáîëåâàíèåì æåëóäî÷íî-êè-
øå÷íîãî òðàêòà. Ðàñïðîñòðàíåííîñòü áîëåçíè Êðîíà äîñòèãàåò 100-200 ñëó÷àåâ çà 100000 íàñåëåíèÿ â
Ñåâåðíîé Àìåðèêå è Åâðîïå. Âèçóàëèçàöèÿ ïàöèåíòîâ ñ áîëåçíüþ Êðîíà òðàäèöèîííî âêëþ÷àåò ñî÷åòà-
íèå êîëîíîñêîïèè ñ áèîïñèåé, ðåíòãåíîñêîïèè ñ áàðèåâîé âçâåñüþ è êîìïüþòåðíîé òîìîãðàôèè (ÊÒ). Ìàã-
íèòíî-ðåçîíàíñíàÿ (ÌÐÒ) òîìîãðàôèÿ ïîçâîëÿåò áûñòðîå ïîëó÷åíèå èçîáðàæåíèé êèøå÷íèêà ñ âûñîêèì
âûÿâëåíèÿ áîëåçíè Êðîíà. Ïðåèìóùåñòâîì ÌÐ-ýíòåðîãðàôèè ÿâëÿåòñÿ îòñóòñòâèå èîíèçèðóþùåãî èçëó-
÷åíèÿ, óëó÷øåííàÿ êîíòðàñòíîñòü ìÿãêèõ òêàíåé, è îòíîñèòåëüíî áåçîïàñíîå êîíòðàñòíîå âåùåñòâî äëÿ
âíóòðèâåííîãî ââåäåíèÿ. Ìåòîäèêà âûïîëíåíèÿ ÌÐ-ýíòåðîãðàôèè çàêëþ÷àåòñÿ âî ââåäåíèè êîíòðàñòíîãî
äîñòèæåíèÿ îïðåäåëåííîé ñòåïåíè ðàñòÿæåíèÿ êèøå÷íèêà. ÌÐÒ-ïðèçíàêè áîëåçíè Êðîíà - íåðàâíîìåðíîå
óòîëùåíèå ñòåíêè ïîðàæåííîé êèøêè, ñåãìåíòàðíîñòü ïîðàæåíèÿ, ðàññëîåíèå ñòåíêè êèøå÷íèêà ïðè âíó-
òðèâåííîì êîíòðàñòèðîâàíèè, èçìåíåíèÿ êðîâîòîêà ïî ñîñóäàì, âîñïàëèòåëüíûå èçìåíåíèÿ â áðûæåéêå,
ëèìôîàäåíîïàòèÿ è ñâèùè.
Êëþ÷åâûå ñëîâà ÌÐ-ýíòåðîãðàôèÿ, áîëåçíü
Êðîíà.
Çàâüÿëîâà Ì.Þ
-
-
ðàëàð.
Abstract
Crohn’s disease is a chronic idiopathic inflammatory disease of the gastrointestinal tract. Crohn disease has
a prevalence of around 100–200 per 100,000 people in North America and Europe. Imaging of patients with
Crohn disease traditionally has included a combination colonoscopy with biopsy, fluoroscopic and computed
tomographic (CT) techniques. Magnetic resonance (MR) imaging allows rapid acquisition of high-resolution
Crohn disease. Advantages of magnetic resonance (MR) imaging include a lack of ionizing radiation, improved
soft-tissue contrast, and a relatively safe intravenous contrast agent profile. Techniques for performing MR-
essential to achieve some degree of bowel distention. MRI sign of Crohn’s disease was irregular thickening
wall of the affected intestine, segmental lesions, stratification of intestine wall after intravenous contrast agent
application, changes of blood flow through the vessels and inflammatory changes of mesentery, lymphadenopathy
and fistulas were detected.
ÌÐ-ýíòåðîãðàôèÿñû
-enterography of Crohn’s disease
Çàâüÿëîâà Ì.Þ.
Zavyalova Ì.Y.
Ò‰é³í ñµçäåðÌÐ-ýíòåðîãðàôèÿ, Êðîí àóðóû.
Key words Dominant nodule, thyroid cancer, total thyroidectomy.
ÎÁ ÀÂÒÎÐÀÕ:
ABOUT THE AUTHORS:
Zavyalova M.Yu.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 26
Ââåäåíèå
Öåëü ðàáîòû:
Ìàòåðèàëû è ìåòîäû èññëåäîâàíèÿ
Ðèñóíîê 1.
Ðèñóíîê 2.
BULLETIN OF SURGERY IN KAZAKHSTAN 27
Ðåçóëüòàòû è èõ îáñóæäåíèå
Ðèñóíîê 3.
Ðèñóíîê 4.
Ðèñóíîê 5.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 28
Âûâîäû
Ëèòåðàòóðà References
BULLETIN OF SURGERY IN KAZAKHSTAN 29
Êëþ÷åâûå ñëîâàõîëåñòåðèíîâûå êàìíè, ÷åðíûå
êàìíè, êîðè÷íåâûå êàìíè,
æåë÷íûé ïóçûðü, öèððîç
ïå÷åíè.
Ò‰é³í ñµçäåð-
áàóûð öèððîçû.
Keywords cholesterol stones, black stones,
brown stones, gall bladder, liver
cirrhosis.
Àííîòàöèÿ
èëè áèëèðóáèíà, èçìåíåíèåì ôèçèêî-õèìè÷åñêèõ ñâîéñòâ æåë÷è, à òàêæå ðàçâèòèåì âîñïàëèòåëüíîãî ïðîöåññà. Ïî ñî-
ñòàâó îïðåäåëÿþò 3 òèïà æåë÷íûõ êàìíåé: õîëåñòåðèíîâûå, ÷åðíûå ïèãìåíòíûå è êîðè÷íåâûå ïèãìåíòíûå. Õîëåñòåðè-
÷¸ðíîãî ïèãìåíòà, ôîñôàòà è êàðáîíàòà êàëüöèÿ áåç ïðèìåñåé õîëåñòåðèíà è ïðîÿâëÿþò ñåáÿ ïðè áîëåçíÿõ êðîâè,
ñîïðîâîæäàþùèõñÿ õðîíè÷åñêèì ãåìîëèçîì, ïðè öèððîçå è äðóãèõ õðîíè÷åñêèõ çàáîëåâàíèÿõ ïå÷åíè.
Àíàëèç ïðåäîïåðàöèîííûõ äàííûõ ó áîëüíûõ â íàøèõ ãðóïïàõ èññëåäîâàíèÿ äîêàçàë, ÷òî èíòåíñèâíîñòü ïàòîëîãè-
÷åñêîãî ïðîöåññà îòëè÷àëñÿ êëèíèêîé çàáîëåâàíèÿ îò áîëüíûõ ñ õîëåñòåðèíîâûìè êàìíÿìè. Êëèíè÷åñêèå íàáëþäåíèÿ
áûëè äîêàçàíû è îáîñíîâàíû àíàëèçàìè ëàáîðàòîðíûõ òåñòîâ è ðåçóëüòàòàìè ïàòîìîðôîëîãè÷åñêîãî èññëåäîâàíèÿ.
Èäåíòèôèêàöèÿ áîëüíûõ ñ êîðè÷íåâûìè êàìíÿìè, îòêðûâàåò âîçìîæíîñòè áîëåå èíäèâèäóàëüíî ïîäîéòè ê ýòîé
ïðîáëåìå. Ïðîâåäåííàÿ òðîéíàÿ àíòèáàêòåðèàëüíàÿ ïðîôèëàêòèêà, âûáðàííàÿ ñ íàèáîëåå ðàñøèðåííûì ïðîòèâîìè-
êðîáíûì äåéñòâèåì, â êðàòêèå ñðîêè ñîïóòñòâóåò ðàññàñûâàíèþ âîñïàëèòåëüíîãî ïðîöåññà è óìåíüøàåò áàêòåðèàëüíóþ
êîíòàìèíàöèþ æåë÷è.
Ãóñåéíîâ À.Â.
-
-
-
-
-
òåðèàëäû ëàñòàíóûí àçàéòàäû.
Abstract
The formation of gallstones - multifactorial process that is characterized by impaired metabolism of cholesterol or bilirubin,
changes in physical and chemical properties of bile, as well as the development of the inflammatory process. According to
the composition there are 3 types of gallstones: cholesterol stones, pigment black and pigment brown stones. Cholesterol
phosphate and calcium carbonate without additives cholesterol and manifest themselves in diseases of the blood, accompanied
by chronic hemolysis, cirrhosis and other chronic liver diseases.
Analysis of preoperative data in patients in our study groups showed that the intensity of the pathological process was
characterized by clinical disease from patients with cholesterol stones. Clinical observations have been proven and justified
with analysis of laboratory tests and the results of pathological studies.
Identification of patients with brown stones opens the possibility of more individual approach to this problem. Carried
out triple antibiotic prophylaxis, selected with the most advanced anti-microbial action in the short term, is accompanied by
resorption of the inflammatory process and reduces bacterial contamination of the bile.
ïðîôèëàêòèêàñû
Prevention of pyoinflammatory complications after cholecystectomy for brown
stones in the gallbladder with destructive changes
Ãóñåéíîâ À.Â.
Guseinov A.V.
ÎÁ ÀÂÒÎÐÀÕ:
– ìë.
íàó÷íûé ñîòðóäíèê îòäåëåíèÿ
õèðóðãèè ïå÷åíè ÍÖÕ èì. Òîï÷è-
áàøåâà
ò.0503672633.
-
ò.0503672633.
ABOUT THE AUTHORS:
- jr. researcher
of the Department of liver surgery
of the SCS n/a Topchibashov
ò.0503672633.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 30
n n n
Òàáëèöà 1.
Àêòóàëüíîñòü ïðîáëåìû
Ìàòåðèàëû è ìåòîäû èññëåäîâàíèÿ
BULLETIN OF SURGERY IN KAZAKHSTAN 31
Òàáëèöà 2.
Òàáëèöà 3.
Âèäû áàêòåðèéÎñíîâíàÿ ãðóïïà
(n=25)Êîíòðîëüíàÿ ãðóïïà (n=22)
Âèä îñëîæíåíèÿ Êîíòðîëüíàÿ ãðóïïà Îñíîâíàÿ ãðóïïà
Ïîëó÷åííûå ðåçóëüòàòû
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 32
Ðèñóíîê 1.
Ðèñóíîê 2.
Ðèñóíîê 2.
± ±
±
±
±
±
±
±
±
BULLETIN OF SURGERY IN KAZAKHSTAN 33
Ëèòåðàòóðà
±
±
Îáñóæäåíèå
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 34
References
BULLETIN OF SURGERY IN KAZAKHSTAN 35
 ÑÎ×ÅÒÀÍÈÅ Ñ ÀÍÒÈÎÊÑÈÄÀÍÒÎÌ-ÀÐÃÎÑÓËÜÔÀÍÎÌ ÏÐÈ ÒÅÐÌÈ×ÅÑÊÎÌ ÎÆÎÃÅ ÊÎÆÈ
Àííîòàöèÿ
Âîçäåéñòâèå íà îñíîâíûå ïàòîãåíåòè÷åñêèå çâåíüÿ îæîãîâîé òðàâìû ñ öåëüþ âîññòàíîâëåíèÿ íîðìàëü-
íîãî ôóíêöèîíèðîâàíèÿ îðãàíèçìà êàê öå¬ëîñòíîé ñèñòåìû äî íàñòîÿùåãî âðåìåíè ÿâëÿåòñÿ òðóäíîðàç-
ðåøèìîé çàäà÷åé. Èñõîäíûå äàííûå äëÿ ðåøåíèÿ ýòîé ïðîáëåìû ôîðìèðóþòñÿ íå òîëüêî ñ ó÷åòîì îñîáåí-
íîñòåé ïàòîãåíåçà, íî è ñîãëàñíî ïàòîôèçèîëîãè÷åñêîìó îáîñíîâàíèþ, âîçìîæíîñòè è öåëåñîîáðàçíîñòè
èñïîëüçîâàíèÿ ðàçëè÷íûõ îáùèõ, ìåñòíûõ è ìàëîèíâàçèâíûõ ñðåäñòâ îäíèì èç êîòîðûõ, ÿâëÿåòñÿ íèçêî-
èíòåíñèâíîå ëàçåðíîå èçëó÷åíèå (ÍÈËÈ) è èõ êîìáèíàöèè ïðè ëå÷åíèè òåðìè÷åñêèõ îæîãîâ.
Êëþ÷åâûå ñëîâà ëàçåðíîå èçëó÷åíèå,
òåðìè÷åñêèé îæîã,
áèîñòèìóëÿöèÿ, îáðàáîòêà
ðàíû.
Êàñóìîâ Í.À., Ìàìåäîâ Ì.Ì., Ìàìåäîâ Ø.Ê.
Abstract
The impact on the basic pathogenetic links of burn injuries in order to restore the normal functioning of the
body as an integrated system to date is a formidable task. The initial data for the solution of this problem are
formed not only on the characteristics of the pathogenesis, but also according to the pathophysiological rationale,
feasibility and advisability of the use of various general, local and minimally invasive means, one of which is a low-
intensity laser radiation (LILR), and combinations thereof in the treatment of thermal burns.
Efficiency of application low intensity laser radiation in combination with antioxidants
- argosulphan at thermal burn of skin
Êàñóìîâ Í.À., Ìàìåäîâ Ì.Ì., Ìàìåäîâ Ø.Ê.
Ò‰é³í ñµçäåð
-
íû òàçàëàó.
Key words laser radiation, thermal burn, biostimulation, wound treatment.
ÎÁ ÀÂÒÎÐÀÕ:
-
I ÀÃÈÓÂ èì. Àëèåâà, ä.ì.í.
ABOUT THE AUTHORS:
Nazim A. Kasumov - Associate
Professor of General Surgery I
department of the ASATID n/a
Aliyev, dr.med.
–
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 36
Àêòóàëüíîñòü ïðîáëåìû Ìàòåðèàëû è ìåòîäû èññëåäîâàíèÿ
BULLETIN OF SURGERY IN KAZAKHSTAN 37
Ðèñóíîê 1.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 38
Ëèòåðàòóðà
Çàêëþ÷åíèå
±
±
±
±
±
±
BULLETIN OF SURGERY IN KAZAKHSTAN 39
References
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 40
BULLETIN OF SURGERY IN KAZAKHSTAN 41
ÌÀËÎÁÅÐÖÎÂÎÃÎ ÀÓÒÎÒÐÀÍÑÏËÀÍÒÀÒÀ
Àííîòàöèÿ
 äàííîé ñòàòüå ïðåäñòàâëåíû ðåçóëüòàòû ìèêðîõèðóðãè÷åñêîãî ëå÷åíèÿ 25 ïàöèåíòîâ ñ îáøèðíûìè
ñåãìåíòàðíûìè äåôåêòàìè îäíîé èç êîñòåé ïðåäïëå÷üÿ, îïåðèðîâàííûõ ñ ïðèìåíåíèåì âàñêóëÿðèçèðîâàí-
íîãî ìàëîáåðöîâîãî àóòîòðàíñïëàíòàòà çà ïåðèîä ñ 2008 ïî 2015ãã. â îòäåëåíèè ðåêîíñòðóêòèâíîé, ïëàñòè-
÷åñêîé è ýñòåòè÷åñêîé ìèêðîõèðóðãèè ÍÍÖÕ èì. À.Í. Ñûçãàíîâà. Âñå îïåðàöèè âûïîëíåíû ïîä îïòè÷åñêèì
óâåëè÷åíèåì ñ ïðèìåíåíèåì ìèêðîõèðóðãè÷åñêîãî èíñòðóìåíòàðèÿ è àòðàâìàòè÷íîãî øîâíîãî ìàòåðèàëà.
Òàêèì îáðàçîì, ïðè ëå÷åíèè áîëüíûõ ñ îáøèðíûìè ñåãìåíòàðíûìè äåôåêòàìè êîñòåé ïðåäïëå÷üÿ èñïîëü-
çîâàíèå âàñêóëÿðèçèðîâàííûõ êîñòíûõ ëîñêóòîâ â êà÷åñòâå òðàíñïëàíòàòîâ-îðãàíîâ â êîñòíîïëàñòè÷åñêîé
õèðóðãèè, óëó÷øàÿ áèîìåõàíèêó ïóòåì óñêîðåíèÿ ïðîöåññîâ ïåðåñòðîéêè òðàíñïëàíòàòà, ïîçâîëÿþò çíà-
÷èòåëüíî ñîêðàòèòü ñðîêè ñîöèàëüíîé, áûòîâîé è ïðîôåññèîíàëüíîé ðåèíòåãðàöèè ïîäîáíîé êàòåãîðèè
áîëüíûõ. Çà÷àñòóþ ñâîáîäíûå êîñòíûå àóòîòðàíñïëàíòàòû íà ñîñóäèñòîé íîæêå ÿâëÿþòñÿ åäèíñòâåííûì
ñïîñîáîì âîññòàíîâëåíèÿ óòðà÷åííîé ôóíêöèè êîíå÷íîñòè.
Êëþ÷åâûå ñëîâà ïðåäïëå÷üå, òðàâìà, äåôåêòû,
ìèêðîõèðóðãèÿ.
Ìóðàäîâ Ì.È., Ñàéê Ï.Þ., Ñàäûêîâ Ò.À., Ìóõàìåäêåðèì Ê.Á., Áàéãóçåâà À.À.
-
-
Abstract
This article presents the results of microsurgical treatment of 25 patients with large segmental defects of
one of the forearm bones, operated with the use of vascularized fibular graft for the period from 2008 to 2015. in
the Department of reconstructive, plastic and aesthetic microsurgery of the NSCS named after A.N. Syzganov.
All operations were performed under optical zoom with the use of microsurgical instruments and atraumatic
suture material. Thus, in the treatment of patients with large segmental defects of the forearm bones the use of
vascularized bone grafts as transplant organs in osteoplastic surgery, improving biomechanics by accelerating
the restructuring processes of the graft, can significantly reduce the time of social, household and professional
reintegration of such patients. Often, the free bone autografts on the vascular pedicle is the only way to restore
the lost function of the extremity.
Experience of microsurgical treatment of bone defects by applying a forearm vascu-
larized fibular autograft
Ò‰é³í ñµçäåð-
ôîðìàöèÿ, ìèêðîõèðóðãèÿ.
Key words forearm, trauma, defects, microsurgery.
ÎÁ ÀÂÒÎÐÀÕ:
Ìóðàäîâ Ì.È. – çàâåäóþùèé
îòäåëåíèåì, ê.ì.í., âðà÷ âûñøåé
êâàëèôèêàöèîííîé êàòåãîðèè,
e-mail: [email protected]
– ñ.í.ñ., âðà÷ - õèðóðã
ïåðâîé êâàëèôèêàöèîííîé
êàòåãîðèè.
Ñàäûêîâ Ò.À. – âðà÷ – õèðóðã,
e-mail: [email protected]
ABOUT THE AUTHORS:
M. Muradov - head of the
department, candidate of medical
sciences, doctor of the highest
qualification category, e-mail:
- senior scientist, doctor
- surgeon of the first qualifying
category.
T. Sadykov – doctor - surgeon,
e-mail: [email protected]
Ìóðàäîâ Ì.È.
e-mail: [email protected]
– àƒà ƒûëûìè
Ñàäûêîâ Ò.À.
e-mail: [email protected]
õèðóðã.
– õèðóðã
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 42
Àêòóàëüíîñòü.
Öåëü ðàáîòû.
Ìàòåðèàë è ìåòîäû.
Êëèíè÷åñêèé ïðèìåð.
BULLETIN OF SURGERY IN KAZAKHSTAN 43
Ðèñóíîê 1.
Ðèñóíîê 2.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 44
Ðèñóíîê 3,4.
Ðèñóíîê 5.
Ðèñóíîê 6.
Ðèñóíîê 7.
BULLETIN OF SURGERY IN KAZAKHSTAN 45
Ðåçóëüòàòû è îáñóæäåíèå.
Çàêëþ÷åíèå.
Ðèñóíîê 8.
Ðèñóíîê 9.
Ðèñóíîê 10.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 46
Ëèòåðàòóðà References
BULLETIN OF SURGERY IN KAZAKHSTAN 47
Àííîòàöèÿ
Öåëüþ èññëåäîâàíèÿ ÿâèëîñü ïðîâåäåíèå ðåòðîñïåêòèâíîãî ñðàâíèòåëüíîãî àíàëèçà îòäàëåííûõ ðåçóëüòàòîâ õè-
ðóðãè÷åñêîãî è êîíñåðâàòèâíîãî ëå÷åíèÿ áîëüíûõ ñ ÃÝÐÁ, îñëîæíåííîé ÁÝ, ïîäâåðãøèõñÿ Ëàïàðîñêîïè÷åñêîé ôóíäî-
ïëèêàöèè ïî Íèññåíó (ËÔÍ).
Ìàòåðèàëîì èññëåäîâàíèÿ ÿâèëèñü 85 ïàöèåíòîâ ñ ÃÝÐÁ, îñëîæíåííûõ, ýðîçèâíûì ýçîôàãèòîì (43) è ÁÝ (42). Èç
íèõ 42 ïàöèåíòàì ñ ÁÝ áûëà âûïîëíåíà ËÔÍ (ãðóïïà A), à îñòàëüíûõ 43 ïàöèåíòîâ ëå÷èëè êîíñåðâàòèâíî (ãðóïïà B).
Èçíà÷àëüíî âñå ïàöèåíòû ïîëó÷àëè êîíñåðâàòèâíóþ òåðàïèþ, ïî êðàéíåé ìåðå, 1 ãîä. 20 ïàöèåíòàì èç îáåèõ ãðóïï, ñ
ãëóáîêîé äèñïëàçèåé, áûëà ïðîâåäåíà ïðåäîïåðàöèîííàÿ àðãîí ïëàçìåííàÿ êîàãóëÿöèÿ (ÀÏÊ).
Ñïóñòÿ 12-24 ìåñÿöåâ ïîñëå îïåðàöèè, ïîëíàÿ ðåãðåññèÿ ìåòàïëàçèè è ñîêðàùåíèå ïëîùàäè ìåòàïëàçèè Áàððåòòà
îòìåòèòü òîò ôàêò, ÷òî áîëüøèíñòâî ïàöèåíòîâ (5 èç 7-è) â ãðóïïå A è âñå 3 áîëüíûõ èç ãðóïïû B, ó êîòîðûõ ðåãðåññèÿ
ìåòàïëàçèè è ñîêðàùåíèå ïëîùàäè ìåòàïëàçèè Áàððåòòà áûëè ïîäâåðãíóòû ÀÏÊ.
Êëþ÷åâûå ñëîâà: ÃÝÐÁ,
ïèùåâîä Áàððåòòà, ýðîçèâíûé
ýçîôàãèò, ôóíäîïëèêàöèÿ ïî
Íèññåíó.
Ìóñëèìîâ Ã.Ô., Þñèôîâà À.Í., Àëèåâà Ã.Ð.
Abstract
In this study there was carried out retrospective comparative analysis of long-term outcomes of the surgical and
conservative treatment in 85 patients with BE and EE divided into two groups, among them 60 men and 25 women.
The group A included 42 EE & BE patients who undergone Laparoscopic Nissen Fundoplication, in group B there were
43 patients who received conservative treatment. Initially, all the patients were treated conservatively for at least 1 year. The
subgroup with dysplasia was subjected to preoperative argon plasma coagulation (APC). From 1 year after surgery (group A)
and conservative treatment (group B) control biopsy specimens were obtained from the gastroesophageal junction of all the
patients.
ôóíäîïëèêàöèÿëàó
Laparoscopic nissen fundoplication in the treatment of gastroesophageal reflux dis-
ease complicated Barrett’s esophagus
Ìóñëèìîâ Ã.Ô., Þñèôîâà À.Í., Àëèåâà Ã.Ð.
Ò‰é³í ñµçäåð:
-
øà ôóíäîïëèêàöèÿëàó.
Key words: laparoscopy, Nissen fundoplication, Barrett’s esophagus.
ÎÁ ÀÂÒÎÐÀÕ:
-
âè÷ – ñò. íàó÷íûé ñîòðóäíèê
îòäåëåíèÿ õèðóðãèè ïå÷åíè ÍÖÕ
èì. Òîï÷èáàøåâà, ä.ì.í.
ò.0503103201.
ò.0503103201.
ABOUT THE AUTHORS:
- sn. of the
Department of liver surgery of the
SCS n/a Topchibashov, dr. med.
ò.0503103201.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 48
Ââåäåíèå
Ìàòåðèàë è ìåòîäû
Ïîêàçà-
òåëè
Ãðóïïû
Íàëè÷èå ÃÏÎÄ ðàç-
íîé ñòåïåíè
Àíàìíåç áîëåçíè
áîëåå 10 ëåò
Ñòåïåíü ýçîôàãèòà
A B C D
Ãðóïïà A
Ãðóïïà B
Âñåãî
Òàáëèöà 1.
BULLETIN OF SURGERY IN KAZAKHSTAN 49
Ðåçóëüòàòû:
Ðèñóíîê 1.
Ãðóïïû
Ïîêàçàòåëè A (42) B (43) Âñåãî
Ñèìïòîìû ýçîôàãèòà
Äèñôàãèÿ
Ýíäîñêîïè÷åñêîå íàëè÷èå ýçîôàãèòà
Ýíäîñêîïè÷åñêîå íàëè÷èå ÝÝ
Ïðèíèìàþùèå ÈÏÏ
Òàáëèöà 2.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 50
Îáñóæäåíèÿ:
B
Ìåòîäû ëå÷åíèÿ
Ñèìïòîìû
ËÔÍ
(n=22)
Ìåäèêàìåí-
òîçíîå
(n=23)
ËÔÍ + ÀÏÀ
(n=12)
Ìåäèêàìåíòîç-
íîå + ÀÏÀ (n=8)
Óìåíüøåíèå ñèìïòîìîâ
ðåôëþêñà
Ðåãðåññèÿ ìåòàïëàçèè
Èñ÷åçíîâåíèå ýçîôàãèòà
Êëèíè÷åñêîå âûçäîðîâ-
ëåíèå
Òàáëèöà 3.
Òàáëèöà 4.
BULLETIN OF SURGERY IN KAZAKHSTAN 51
Ðèñóíîê 2.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 52
Ðèñóíîê 3.
a
c
Îñîáåííîñòè
ôèêñàöèè
Ðåçóëüòàòû
ËÔÍ áåç
ôèêñàöèè
ìàíæåòà ê
íîæêàì ýçî-
ôàãóñà
ËÔÍ ñ
ôèêñàöèèåé
ìàíæåòà ê
ïèùåâîäó
ËÔÍ ñ
ôèêñàöèèåé
ìàíæåòà ê
íîæêàì
ËÔÍ ñ
ôèêñàöèèåé
ìàíæåòà ê
íîæêàì è
ïèùåâîäó
âñåãî
Õîðîøèå è îòëè÷íûå
Óäîâëåòâîðèòåëüíûå
Òàáëèöà 4.
BULLETIN OF SURGERY IN KAZAKHSTAN 53
Ëèòåðàòóðà
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 54
References
BULLETIN OF SURGERY IN KAZAKHSTAN 55
SURGICAL PATIENTS IN THE EARLY
POSTOPERATIVE PERIOD
Abstract
The article shows the dynamics of u-NGAL in patients who underwent surgery with duration of extracorporeal circulation,
pharmaco-cold (or blood) cardioplegia and hypothermia. For the purpose of comparative evaluation of all 25 patients were
duration of more than 150 min EC. The results of a comparative study of the dynamic changes set u-NGAL for 2 hours after
surgery in both groups. It turned out that patients undergoing cardiac surgery, which made surgery a lasting EC more than 150
min performance u-NGAL, some immediately and 2 hours after the operation, is relatively higher than those in patients with a
duration of less than 150 min EC.
Key words: u-NGAL, cardioplegia,
hypothermia, cardiac surgery.
Sagatov I.Ye.1,2, Abdilova G.B.1, Berdimuratova Zh.S.1.
-
Àííîòàöèÿ
 ñòàòüå ïðåäñòàâëåíà äèíàìèêà u-NGAL ó ïàöèåíòîâ, êîòîðûì âûïîëíåíà îïåðàöèÿ â óñëîâèÿõ èñêóññòâåííîãî
êðîâîîáðàùåíèÿ, ôàðìàêîõîëîäîâîé (èëè êðîâÿíîé) êàðäèîïëåãèè è ãèïîòåðìèè. Ñ öåëüþ ñðàâíèòåëüíîé îöåíêè âñå 25
÷òî ó êàðäèîõèðóðãè÷åñêèõ ïàöèåíòîâ, êîòîðûì ïðîèçâåäåíî îïåðàòèâíîå âìåøàòåëüñòâî ñ ïðîäîëæèòåëüíîñòüþ ÈÊ áî-
ëåå 150 ìèí ïîêàçàòåëè u-NGAL, îïðåäåëåííûå ñðàçó è ÷åðåç 2 ÷àñà ïîñëå îïåðàöèè, ñðàâíèòåëüíî âûøå, ÷åì òàêîâûå
ó ïàöèåíòîâ ñ ïðîäîëæèòåëüíîñòüþ ÈÊ ìåíåå 150 ìèí.
äèíàìèêàñû
Äèíàìèêà of U-NGAL ó ïàöèåíòîâ êàðäèîõèðóðãè÷åñêîãî ïðîôèëÿ â ðàííåì
ïîñëåîïåðàöèîííîì ïåðèîäå
Ñàãàòîâ È.Å., Àáäèëîâà Ã.Á., Áåðäèìóðàòîâà Æ.Ñ.
Ò‰é³í ñµçäåðu-NGAL, êàðäèîïëåãèÿ, ãèïî-
òåðìèÿ, êàðäèîõèðóðãèÿ.
Êëþ÷åâûå ñëîâà: u-NGAL, êàðäèîïëåãèÿ, ãèïî-òåðìèÿ, êàðäèîõèðóðãèÿ.
ÎÁ ÀÂÒÎÐÀÕ:
–
âðà÷-õèðóðã îòäåëåíèÿ êàðäèîõè-
ðóðãèè ÍÍÖÕ èì.À.Í. Ñûçãàíîâà,
ä.ì.í., e-mail: inkar_sagatov@
rambler.ru;
-
åâíà – çàâåäóþùàÿ êëèíèêî-
äèàãíîñòè÷åñêîé ëàáîðàòîðèåé
ÍÍÖÕ èì. Ñûçãàíîâà, e-mail:
ABOUT THE AUTHORS:
Inkar Y. Sagatov –a surgeon of
cardiac surgery department of the
NSCS n/a A.N. Syzganov, dr. med.,
e-mail: [email protected];
- head of the
clinical diagnostic laboratory of
the NSCS n/a Syzganov, e-mail:
- À.Í.
-
ì.ƒ.ä., e-mail: inkar_sagatov@
rambler.ru;
- À.Í. Ñûçƒàíîâ
e-mail: [email protected].
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 56
Introduction
±
±
±
±
±
±
Results and their discussion
±
±
±
±
Fig. 1.
BULLETIN OF SURGERY IN KAZAKHSTAN 57
Conclusions
± ±
± ±
± ±
± ±
± ±
± ±
± ±
± ±
Table 1.
References
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 58
BULLETIN OF SURGERY IN KAZAKHSTAN 59
THE ENDOVASCULAR SURGERY OF RENOVASCULAR HYPERTENSION
Abstract
From 2000 to May 2010 in Syzganov Scientific Centre of Surgery there were 33 patients in admission, who suffered from RVH and
had stenosis-occlusive lesion of other arterial base and who had other diseases.
Endovascular surgical intervention procedures were performed routinely in 33 patients with RVH. Of these, 24 were men, women -
9. Bilateral lesion in 4 patients. Repeated endovascular surgical intervention (ESI) performed in 10 cases. Patients with atherosclerotic
lesions accounted for the vast majority of the renal arteries (RA) - 23 patients with nonspecific aortoarteritis - 10 of them staged ESI
performed in 12 cases.
Single-stage endovascular surgical intervention was performed in 20 patients, 12 patients in stages. In 17 - made transluminal
balloon angioplasty (TBA) of RA on the one hand, TBA of RA bilateral - in 4 patients and TBA of brachiocephalic arteries and iliac-
femoral segment - at 11.
Thus, in the late postoperative period in patients with primary RVH stenosis and restenosis PA when we performed endovascular
the angioplasty in patients with atherosclerosis there was a significant decrease (p<0.05) of the average blood pressure: systolic 205
+ 4 mm Hg 135 + 2.2, and diastolic from 110 + 1.3 mm Hg 90+1.2 mm Hg in patients with aortoarteritis average blood pressure was
Statistical analysis of indicators of blood pressure before and after endovascular surgical treatment gave a good hemodynamic effects
in 27 patients.
Key words: multifocal stenotic lesions of
various etiologies of arterial
vessels (atherosclerosis,
aortoarteritis), endovascular
methods.
-
-
Àííîòàöèÿ
Ñ 2000 ãîäà ïî ìàé 2010 â íàó÷íîì öåíòðå õèðóðãèè èì. Ñûçãàíîâà áûëî 33 ïàöèåíòîâ íà ïðèåìå, êîòîðûå ñòðàäàëè îò ðå-
íîâàñêóëÿðîé ãèïåðòåíçèåé (ÐÂÃ) è áûëè ñòåíîç-îêêëþçèîííûå ïîðàæåíèÿ äðóãîé àðòåðèàëüíîé áàçû è êîòîðûå èìåëè äðóãèå
çàáîëåâàíèÿ.
Ýíäîâàñêóëÿðíûå õèðóðãè÷åñêèå ïðîöåäóðû âìåøàòåëüñòâà ïðîâîäèëèñü ðåãóëÿðíî ó 33 ïàöèåíòîâ ñ ÐÂÃ. Èç íèõ 24 áûëè
ìóæ÷èíû, æåíùèí - 9. Äâóñòîðîííåå ïîðàæåíèå ó 4 ïàöèåíòîâ. Ïîâòîðíîå ýíäîâàñêóëÿðíîå õèðóðãè÷åñêîå âìåøàòåëüñòâî (ÝÕÂ)
îñóùåñòâëÿëîñü â 10 ñëó÷àÿõ. Ïàöèåíòû ñ àòåðîñêëåðîòè÷åñêèì ïîðàæåíèåì ïðèõîäèëèñü äëÿ ïîäàâëÿþùåãî áîëüøèíñòâà ïî-
÷å÷íûõ àðòåðèé (ÏÀ) - 23 ïàöèåíòîâ ñ íåñïåöèôè÷åñêèì àîðòîàðòåðèòîì - 10 èç íèõ âûïîëíåíî ñòàäèéíîå ÝÕ â 12 ñëó÷àÿõ.
Ó 17 - òðàíñëþìèíàëüíàÿ áàëëîííàÿ àíãèîïëàñòèêà (ÒÁÀ) ÏÀ, ñ îäíîé ñòîðîíû, ÒÁÀ ÏÀ äâóñòîðîííåãî - ó 4 áîëüíûõ è ÒÁÀ áðà-
õèîöåôàëüíûõ àðòåðèé è ïîäâçäîøíîãî áåäðåííîãî ñåãìåíòà - ó 11.
Òàêèì îáðàçîì, â îòäàëåííîì ïîñëåîïåðàöèîííîì ïåðèîäå ó áîëüíûõ ñ ïåðâè÷íûì ñòåíîçîì ÐÂà è ðåñòåíîçîì ÏÀ áûëè
Íè îäíîãî ñëó÷àÿ ñìåðòè â èññëåäóåìîé ãðóïïå áîëüíûõ íå íàáëþäàëîñü. Ïîñëå àíãèîïëàñòèêè ó ïàöèåíòîâ ñ àòåðîñêëåðîçîì
áûëî çíà÷èòåëüíîå óìåíüøåíèå (ð <0,05) â ñðåäíåì àðòåðèàëüíîãî äàâëåíèÿ: ñèñòîëè÷åñêîå ñ 205 + 4 ìì ðò.ñò. äî 135 + 2,2,
à äèàñòîëè÷åñêîå îò 110 + 1,3 ìì ðò.ñò. äî 90 + 1,2 ìì ðò.ñò. ó ïàöèåíòîâ ñ àîðòîàðòåðèòîì ñðåäíåå êðîâÿíîå äàâëåíèå çíà÷è-
òåëüíî óìåíüøèëîñü (ð <0,05): ñèñòîëè÷åñêîå 210 + 8,2 ìì ðò.ñò. äî 146 + 5,7 ìì ðò.ñò., è äèàñòîëè÷åñêîå îò 115 + 5,3 ìì ðò.ñò.
ëå÷åíèÿ äàë õîðîøèå ãåìîäèíàìè÷åñêèå ýôôåêòû ó 27 ïàöèåíòîâ.
Ýíäîâàñêóëÿðíàÿ õèðóðãèÿ ðåíîâàñêóëÿðíîé ãèïåðòåíçèè
Òåðãåóñ³çîâ À.Ñ., Ïàíãèðååâ Ä.Ä.
Õàí÷è Ì., Êîñïàíîâ Í.À., Îðìàíîâ Á.Ê., Äåìåóîâ Ò.Í., Àêàíîâ Å.Ê., Ìàòêåðèìîâ À.Æ., Æàêóáàåâ
Ì.À., Òåðãåóñèçîâ À.Ñ., Ïàíãèðååâ Ä.Ä.
Ò‰é³í ñµçäåð
-
ñêëåðîç, àîðòîàðòåðèò),
Êëþ÷åâûå ñëîâà: ìóëüòèôîêàëüíûå ñòåíîòè÷å-ñêèå ïîðàæåíèÿ ðàçëè÷íîé ýòè-îëîãèè àðòåðèàëüíûõ ñîñóäîâ (àòåðîñêëåðîç, àîðòîàðòåðèò), ýíäîâàñêóëÿðíûå ìåòîäû.
ÎÁ ÀÂÒÎÐÀÕ:
-
íîâè÷ - çàâåäóþùèé îòäåëåíèåì
àíãèîõèðóðãèè ÍÍÖÕ èì. Ñûçãàíîâà,
ê.ì.í., âðà÷ âûñøåé êàòåãîðèè,
õèðóðã, e-mail: Kospanov.nursultan@
gmail.com;
– âðà÷-õèðóðã îòäåëåíèÿ
àíãèîõèðóðãèè ÍÍÖÕ èì. Ñûçãàíîâà,
ê.ì.í., âðà÷ âûñøåé êàòåãîðèè,
e-mail: [email protected]
ABOUT THE AUTHORS:
Nursultan A. Kospanov - head
of the department of angiosurgery,
can. med., a high level certificate
physician, e-mail: Kospanov.
Khanchi M. - surgeon of the
department of angiosurgery,
can. med., a high level certificate
physician,
e-mail: [email protected]
- À.Í. Ñûçƒàíîâ
-
- À.Í. Ñûçƒàíîâ àòûí.
e-mail: [email protected]
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 60
The aim of the study
Endovascular prosthesis, renal artery
stenting
Two-stage endovascular surgical inter-
vention
Etiological factors
RVH
number of patients Women
¹ % ¹ % ¹ %
Atherosclerosis
Aortoarteritis
Total
Table 1.
BULLETIN OF SURGERY IN KAZAKHSTAN 61
Analysis of the results endovascular surgi-
cal intervention
endovascular surgical
endovascular
surgical intervention
endovascular
surgical intervention
results of endovascular surgical intervention
endovascu-
lar surgical
endovascular surgical
intervention
Picture 1.
Picture 2.4.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 62
References
BULLETIN OF SURGERY IN KAZAKHSTAN 63
Àííîòàöèÿ
Öåëüþ ðàáîòû ÿâèëàñü îïðåäåëèòü õàðàêòåð êîððåëÿòèâíîé ñâÿçè êëèíè÷åñêîãî òå÷åíèÿ êîìáèíèðîâàííîé èíòóáàöèîííîé
ýïèäóðàëüíîé àíåñòåçèè ñ òèïîì âåãåòàòèâíîé íåðâíîé ñèñòåìû ïðè îáøèðíûõ àáäîìèíàëüíûõ îïåðàöèÿõ.
Èññëåäîâàòåëüñêàÿ ðàáîòà ïðîâåäåíà â îòäåëåíèè Àíåñòåçèîëîãèè-ðåàíèìàöèè Íàó÷íîãî Öåíòðà Õèðóðãèè èì. àêàä.
îïåðàòèâíûì âìåøàòåëüñòâàì ïî ïîâîäó ðàçëè÷íûõ òÿæåëûõ õèðóðãè÷åñêèõ ïàòîëîãèé îðãàíîâ áðþøíîé ïîëîñòè â óñëîâèÿõ
êîìáèíèðîâàííîé èíòóáàöèîííîé ýïèäóðàëüíîé àíåñòåçèè (ÊÈÝÀ). Äëÿ îïðåäåëåíèÿ òèïà âåãåòàòèâíîé íåðâíîé ñèñòåìû (ÂÍÑ)
áûëè èñïîëüçîâàíû ïðîñòûå íåéðîôèçèîëîãè÷åñêèå òåñòû, ðàññ÷èòàíû âåãåòàòèâíûé èíäåêñ Êåðäî (ÂÈÊ) è êîýôôèöèåíò Õèë-
äåáðàíòà (ÊÕ), à òàêæå èçó÷àëèñü äàííûå ýëåêòðîýíöåôàëîãðàììà äî îïåðàöèè.
Ïî ðåçóëüòàòàì èññëåäîâàíèÿ áûëî óñòàíîâëåíî, ÷òî íà îñíîâàíèè êîìïëåêñà äàííûõ, ïîëó÷åííûõ îò ïðîñòûõ òåñòîâ, ÝÝÃ,
ÝÊÃ, ÂÈÊ, ÊÕ ìîæíî îïðåäåëèòü ïðåâîñõîäñòâî òèïà âåãåòàòèâíîé íåðâíîé ñèñòåìû. ÊÈÝÀ ìîæíî ñ÷èòàòü îïòèìàëüíûì âà-
ðèàíòîì îáùåé àíåñòåçèè, îáåñïå÷èâàþùèì íåéðîãóìîðàëüíóþ è ãåìîäèíàìè÷åñêóþ ñòàáèëüíîñòü ïðè øèðîêîìàñøòàáíûõ,
òðàâìàòè÷åñêèõ îïåðàöèÿõ íà îðãàíàõ áðþøíîé ïîëîñòè. Ó áîëüíûõ ñ ôóíêöèîíàëüíûì ðàâíîâåñèåì ñèìïàòè÷åñêîé è ïàðà-
ñèìïàòè÷åñêîé ÷àñòåé âåãåòàòèâíîé íåðâíîé ñèñòåìû, ò.å. ó íîðìàòîíèêîâ, êëèíè÷åñêîå òå÷åíèå ÊÈÝÀ õàðàêòåðèçóåòñÿ áîëåå
ñòîéêîé ãåìîäèíàìè÷åñêîé è ãóìîðàëüíîé ñòàáèëüíîñòüþ, ïî ñðàâíåíèþ ñ ñèìïàòèêî-, è ïàðàñèìïàòèêîòîíèêàìè.
Êëþ÷åâûå ñëîâà òèïû âåãåòàòèâíîé
íåðâíîé ñèñòåìû,
õèðóðãèÿ îðãàíîâ áðþøíîé
ïîëîñòè, êîìáèíèðîâàííàÿ
èíòóáàöèîííàÿ ýïèäóðàëüíàÿ
àíåñòåçèÿ.
Ãàñàíîâ Ô.Ä., Àñëàíîâ À.À., Íàìàçîâà Ê.Í., Àááàñîâà Ì.Ò., Àñêåðîâà Ã.À., Ìóñàåâà Í.Ç.,
Êåðèìîâà Õ.Ì.
-
Abstract
The aim of the study was to determine the nature of a correlation of the clinical course of combined endotracheal epidural
anesthesia with the type of the autonomic nervous system with extensive abdominal surgeries.
The research work was carried out in the Department of Anesthesiology and Resuscitation of the Scientific Center of Surgery
named after acad. M.A. Topchubashov of the Ministry of Health of Azerbaijan Republic. The objects of the study were 69 patients
who underwent surgery for a variety of serious surgical abdominal pathology in a combined endotracheal epidural anesthesia (CEEA).
To determine the type of the autonomic nervous system (ANS) there were used simple neuropsychological tests, calculated Kerdo
vegetative index (KVI) and the Hildebrand coefficient (HC), and EEG data were studied before surgery.
According to the study it was found that on the basis of complex data obtained from the simple test, EEG, ECG, KVI, HC we can
determine the type of the superiority of the autonomic nervous system. CEEA can be considered the best option of general anesthesia,
providing neurohumoral and hemodynamic stability during large-scale traumatic surgery of the abdomen. Patients with functional
balance of sympathetic and parasympathetic portions of the autonomic nervous system, i.e. normatensives, CEEA clinical course is
characterized by a persistent humoral and hemodynamic stability, compared with sympathesive- and parasympathensives.
Correlative links of clinics of combined epidural endotracheal anesthesia with type of
autonomic nervous system
Ãàñàíîâ Ô.Ä., Àñëàíîâ À.À., Íàìàçîâà Ê.Í., Àááàñîâà Ì.Ò., Àñêåðîâà Ã.À., Ìóñàåâà Í.Ç.,
Êåðèìîâà Ã.Ì.
Ò‰é³í ñµçäåð
-
àíåñòåçèÿñû
Key words types of autonomic nervous system, surgery of the abdominal cavity, combined endotracheal epidural anesthesia.
ABOUT THE AUTHORS:
- Head of the Department
of Anesthesiology and Resuscitation (DAR)
of the SCS n/a Topchubashov, a member of
the World Society of Pain, a member of the
Board of the Research Council of Scientific
Bibliographical Center USA, dr.med., e-mail:
Azer Aslanov - anesthesiologist-
resuscitator of DAR of the SCS n/a
Topchubashov;
Kemalya Namazova – jr. researcher of DAR
of the SCS n/a Topchubashov, cand.med.;
Mahruh Abbasova - jr. researcher of DAR
of the SCS n/a Topchubashov;
- jr. researcher of DAR of
the SCS n/a Topchubashov;
Narmina Mussayeva - jr. researcher of
DAR of the SCS n/a Topchubashov;
- anesthesiologist-
resuscitator of DAR of the SCS n/a
Topchubashov.
ÎÁ ÀÂÒÎÐÀÕ:
- Ðóêîâî-
äèòåëü îòäåëåíèÿ Àíåñòåçèîëîãèè-ðåàíè-
-
ëåíèÿ Èññëåäîâàòåëüñêîãî Ñîâåòà Íàó÷íî-
Áèáëèîãðàôè÷åñêîãî Öåíòðà ÑØÀ, ä.ì.í.,
e-mail: [email protected];
- âðà÷ àíåñòå-
-
-
- ìë.í.ñîòð.
- âðà÷
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 64
Ââåäåíèå
Öåëü èññëåäîâàíèÿ
Ìàòåðèàë è ìåòîäû.
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BULLETIN OF SURGERY IN KAZAKHSTAN 65
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Ðèñóíîê 1.
Ðèñóíîê 2.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 66
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Ðèñóíîê 3.
Òàáëèöà 1.
Òàáëèöà 2.
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BULLETIN OF SURGERY IN KAZAKHSTAN 67
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Âûâîäû
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Òàáëèöà 3.
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 68
Ëèòåðàòóðà
References
BULLETIN OF SURGERY IN KAZAKHSTAN 69
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 70
Êëþ÷åâûå ñëîâà öåðåáðàëüíûé èíñóëüò,
êîãíèòèâíàÿ ñôåðà, ðîíîöèò.
Ò‰é³í ñµçäåðöåðåáðàëüäû èíñóëüò,
Key wordscerebral stroke, cognitive sphere,
Ronociton.
ÏÅÐÈÎÄÅ ÖÅÐÅÁÐÀËÜÍÎÃÎ ÈÍÑÓËÜÒÀ
Àííîòàöèÿ
Ïðîáëåìà êîððåêöèè êîãíèòèâíîé ôóíêöèé ó ïàöèåíòîâ â îñòðîì ïåðèîäå öåðåáðàëüíîãî èíñóëüòà
(ÖÈ) ïðîäîëæàåò îñòàâàòüñÿ àêòóàëüíîé êàê äëÿ íåâðîëîãîâ, òàê è äëÿ ñïåöèàëèñòîâ ñìåæíûõ äèñ-
öèïëèí âñëåäñòâèå âûñîêîãî ðèñêà ôîðìèðîâàíèÿ ñîñóäèñòîé äåìåíöèè ñðåäè ïàöèåíòîâ, ïåðåíåñ-
øèõ ÖÈ. Ñíèæåíèå ïðîäîëæèòåëüíîñòè è êà÷åñòâà æèçíè äàííîé êàòåãîðèè áîëüíûõ íà ïîñëåäóþùèõ
ýòàïàõ âîññòàíîâëåíèÿ ÿâëÿåòñÿ íåìàëîâàæíûì ìåäèêî-áèîëîãè÷åñêèì è ñîöèàëüíî-ýêîíîìè÷åñêèì
àñïåêòîì âûøåóêàçàííîé ïðîáëåìû [5-7]. Öåëüþ èññëåäîâàíèÿ ÿâèëîñü èçó÷åíèå âëèÿíèÿ ïðåïàðàòà
Ðîíîöèò íà íåéðîäèíàìè÷åñêèå ïàðàìåòðû êîãíèòèâíîé ñôåðû ó áîëüíûõ â îñòðîì ïåðèîäå öåðå-
áðàëüíîãî èíñóëüòà.
Êàëêàáàåâ Æ.Ê., Íóðãîæèí Å.À., Èáðàåâà Ñ.Å., Áàéìóõàíîâ Ð.Ì., Êèñïàåâà Ò.Ò.
-
-
Abstract
The problem of correction of cognitive functions in patients with the acute cerebral stroke (CS) continues
to be relevant for neurologists and specialists in related disciplines because of the high risk of the vascular
dementia formation in patients with CS. Reducing the duration and quality of life of these patients in the
later stages of recovery is important medico-biological and socio-economic aspects of the above problems
[5-7]. The aim of the study was to investigate the effect of the drug Ronociton neurodynamic parameters of
cognitive function in patients with the acute cerebral stroke.
The preventive-therapeutic correction of cognitive sphere in the acute period of
cerebral strokeABOUT THE AUTHORS:
Kalkabaev J.C. - assistent of
department, head of department of
neurorehabilitation;
Nurgozhin E.A. - director of the
Regional Medical Center;
Ibrayeva S.E. - neuropathist of
neurorehabilitation department;
Baimukhanov R.M. – docent
of neurology, neurosurgery and
oriental medicine department;
Kispaeva T.T. - acting head of
the Department of neurology,
neurosurgery and oriental
medicine, dr.med.,
e-mail: [email protected]
ÎÁ ÀÂÒÎÐÀÕ:
- àññèñòåíò
êàôåäðû, çàâ îòäåëåíèåì íåéðî-
ðåàáèëèòàöèè;
- äèðåêòîð îá-
ëàñòíîãî ìåäèöèíñêîãî öåíòðà;
Èáðàåâà Ñ.Å. - íåâðîïàòîëîã
îòäåëåíèÿ íåéðîðåàáèëèòàöèè;
- äîöåíò
êàôåäðû íåâðîëîãèè, íåéðîõè-
ðóðãèè è âîñòî÷íîé ìåäèöèíû;
- è.î çàâåäó-
þùåãî êàôåäðû íåâðîëîãèè,
íåéðîõèðóðãèè è âîñòî÷íîé
ìåäèöèíû, ä.ì.í.
e-mail: [email protected]
- êàôåäðà
äèðåêòîðû;
Èáðàåâà Ñ.Å. – Íåéðîðåà-áèëè-
- íåâðîëîãèÿ,
-
- íåéðîõèðóðãèÿ
e-mail: [email protected]
BULLETIN OF SURGERY IN KAZAKHSTAN 71
Àííîòàöèÿ
Êëþ÷åâûå ñëîâà:
ÂÅÑÒÍÈÊ ÕÈÐÓÐÃÈÈ ÊÀÇÀÕÑÒÀÍÀ 72
Âûâîäû
Ëèòåðàòóðà References
ªÎÆ
ò‰é³í ñµçäåð
ªäåáèåò ò³ç³ì³.
籑
á³ðåãåé ìàçì±íäû
“ªä³ñ” áµë³ã³íäå
ÍÀÓ×ÍÎÃÎ ÆÓÐÍÀËÀ
àííîòàöèÿ
ÓÄÊíà àíãëèéñêîì ÿçûêå
Àííîòàöèÿ êëþ÷åâûå ñëîâà
Ñïèñîê ëèòåðàòóðû.
ïîëíûé ïåðåâîä ðóññêîãî èëè êàçàõñêîãî ñïè-
Àâòîðñêèå ðåçþìå (àííîòàöèè) äîëæíû áûòü:èíôîðìàòèâíûìè îðèãèíàëüíûìè ñîäåðæàòåëüíûìè
ñòðóêòóðèðîâàííûìè
êîìïàêòíûìè, íî íå êîðîòêèìè
Ââîäíàÿ ÷àñòü ê ñòàòüå.
Ðàçäåë “Ìåòîäèêà”
Ðàçäåë “Ðåçóëüòàòû è èõ îáñóæäåíèå”
Ðàáîòû, îôîðìëåííûå áåç ñîáëþäåíèÿ ýòèõ ïðàâèë, âîçâðà-ùàþòñÿ áåç ðàññìîòðåíèÿ.
Ðåäàêöèîííàÿ ýòèêà
OF THE “BULLETIN OF SURGERY
IN KAZAKHSTAN” SCIENTIFIC JOURNAL
Abstract, key words
References
This is one of the main requirements of the inter-complete translation
of Russian or Kazakh bibliography in English
Author abstract must be:
Introduction
“Results and discussion”
in Bulletin of surgery in Kazakhstan