FEDERALNOE GOSUDARSTVENNOE BJUDZHETNOE UCHREZHDENIE "TSENTRALNYJ NAUCHNO-ISSLEDOVATELSKIJ INSTITUT TRAVMATOLOGII I ORTOPEDII IMENI N.N. PRIOROVA" MINISTERSTVA ZDRAVOOKHRANENIJA ROSSIJSKOJ FEDERATSII (
发明人:
MIRONOV SERGEJ PAVLOVICH,Миронов Сергей Павлович,KRUPATKIN ALEKSANDR ILICH,Крупаткин Александр Ильич,KESJAN GURGEN ABAVENOVICH,Кесян Гурген Абавенович,URAZGILDEEV RASHID ZAGIDULLOVICH,Уразгильдеев Раш
申请号：
RU2013113941/14
公开号：
RU0002514110C1
申请日:
2013.03.28
申请国别(地区):
RU
年份:
2014
代理人:
摘要：
FIELD: medicine.SUBSTANCE: surgical management of the heterotopic ossificates is preceded by analysing the patients venous blood, and also describing and localising the ossificated by standardised X-ray imaging, multi-layer spiral CT and magnetic resonant tomography. Non-invasive laser Doppler flowmetry is used in a sitting or lying patient after a 30-minute rest with a sensor placed on the patients skin in a projection of the heterotopic ossificates for 360-420 seconds at red laser light wavelength 0.63 mcm and probe volume 0.8-0.9 mm3 with applying spectral wavelet analysis of the blood flow oscillation to measure any sequences and to evaluate microhaemocirculation (perfusion units) of the soft tissues in a projection of the patients heterotopic ossificates that describes general, i.e. capillary and extracapillary, average steady microvascular perfusion, and is proportional to an erythrocyte count and average linear rate in a probed volume the range of spectral wavelet frequency oscillation amplitudes 0.0095-1.6 Hz is examined to specify and record the blood flow oscillation amplitudes of the proper myogenic origin within the frequency range of 0.07-0.145 Hz directly describing the nutritive passage of the examined tissues in a projection of the heterotopic ossificates. If the measured microhaemocirculation of the soft tissues in a projection of the heterotopic ossificates makes 0.5-1.8 perfusion units, the measured nutritive blood flow makes 0.3-1.0 perfusion units, while the wavelet spectrum of the blood flow oscillations within the frequency range of 0.07-0.145 Hz shows no myogenic oscillations, or the amplitude is negligible, then the processes of osteoid formation and mineralisation in a combination with formation and maturation of a spongy bone tissue of the new bone are stated to be completed, and an adequacy of the metabolic maturity of the patients heterotopic ossificates is evidenced that testifies to advisability of the surgical management of the formed
