SHCHEDRENOK VLADIMIR VLADIMIROVICH,Щедренок Владимир Владимирович,ZAKHMATOV IVAN GENNADEVICH,Захматов Иван Геннадьевич,MOGUCHAJA OLGA VLADIMIROVNA,Могучая Ольга Владимировна,POTEMKINA ELENA GENNADEVNA
申请号：
RU2014100436/14
公开号：
RU0002546106C1
申请日:
2014.01.09
申请国别(地区):
RU
年份:
2015
代理人:
摘要：
FIELD: medicine.SUBSTANCE: lateral dislocation index Id is calculated taking into account a pathological growth volume according to the imaging findings, a midline offset, impairment of consciousness according to the Glasgow Coma Scale, lateral size of both lateral ventricles at the mid-level of a pellucid septum. In the patients with a craniocerebral injury: if Id is less than 0.6, the surgery is not indicated if Id falls within the range of 0.7 to 1.2, the minimally invasive immediate surgery with removing the substrate causing the lateral dislocation is performed if Id is from 1.3 to 3.5, the immediate surgery with removing the substrate causing the lateral dislocation in a combination with a bone decompression with a trephine opening sized min 7×7 cm is performed Id exceeding 3.5 requires the immediate surgery with removing the substrate causing the lateral dislocation in a combination with expanded bone decompression with the trephine opening sized min 7×10 cm with infra-temporal decompression and extended plastic repair of a dura mater is performed. The similar calculations and measurements are performed in the patients suffering brain tumours causing lateral dislocation. The values Id of less than 1.2 require the planned surgery if Id is from 1.3 to 3.5, the surgery is urgent, while the values Id exceeding 3.5 provide the emergency surgery.EFFECT: inventions enable determining the therapeutic approach reliably that is ensured by calculating the index taking into account the pathological growth volume, midline offset, impairment of consciousness, and lateral size of both lateral ventricles.2 cl, 7 exГруппа изобретений относится к медицине, а именно нейрохирургии, неврологии и лучевой диагностике. Рассчитывают индекс поперечной дислокации Id с учетом объема патологического образования по данным томографии, величины смещения срединных структур, уровня нарушения сознания по шкале комы Глазго, поперечного размера обоих боковых желудочков на уровне середины прозра
