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Параректальні нориці - Сторінка 2 - Проктологія - Форум лікарів
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Параректальні нориці

Полиграф Полиграфыч
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Re: Параректальні нориці

Повідомлення#11 » 03 червня 2017, 11:59

могу ошибиться, но я по-прежнему поддерживаю вариант Дармидона. На свищ мало похоже

Аватар користувача
Саприченко
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Re: Параректальні нориці

Повідомлення#12 » 03 червня 2017, 17:14


Полиграф Полиграфыч
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Re: Параректальні нориці

Повідомлення#13 » 05 червня 2017, 10:53

ну, если это действительно, нориця, ставьте сетон и поэтапно санируйте все затеки. потом решите вопрос со свищем.

Аватар користувача
Pro cudis
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Re: Параректальні нориці

Повідомлення#14 » 05 червня 2017, 11:26

Схоже на Крон. Як аналіз на ВІЛ?
Колоноскопія, гастроскопія і додав би пасаж барію по тонкій кишці.
Брали біопсію - як щодо Крона там?
 
Хірургам робити нічого, крім дренуючої лігатури, звичайно. Гастроентерологи повинні спробувати все - Remicade, Imuran, 6 MP, tacrolimus, стероїди + танці з бубнами.

Полиграф Полиграфыч
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Re: Параректальні нориці

Повідомлення#15 » 05 червня 2017, 11:35

вообще то в наших широтах БК - казуистика, особенно у жителей сельской местности

Darmidon
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Re: Параректальні нориці

Повідомлення#16 » 05 червня 2017, 20:04


Аватар користувача
ЦРЛ
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Re: Параректальні нориці

Повідомлення#17 » 05 червня 2017, 22:43

Шановний колего! В першу чергу, треба розібратися в етіології процесу - посіви, мікроскопія - виключити туберкульоз, кандидоз і т.д.
Ці хворі складні, далеко не всіх потрібно оперувати, а якщо будете оперувати, то операція
складна, іноді простіше зробити екстирпацію, ніж прооперувати такого хворого.

Полиграф Полиграфыч
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Re: Параректальні нориці

Повідомлення#18 » 05 червня 2017, 23:00


Darmidon
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Re: Параректальні нориці

Повідомлення#19 » 06 червня 2017, 08:35


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Треф
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Re: Параректальні нориці

Повідомлення#20 » 06 червня 2017, 12:32

Я не проктолог, але життя зобов'язує :)

Таким хворим для початку накладаю колостому - петлеву, але з перев'язкою відвідного коліна.

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