Herald of the Mechnikov Saint-Petersburg State Medical Academy (стр. 9 )

Schedrenok V.V., Sebelev K.I., Ivanenko A.V., Moguchaya O.V., Zevakhin S.V., Chizhova M.V. Comparative analysis of various puncture methods for degenerative spinal column disease treatment // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 95-97.

Russian Polenov Neurosurgical Institute, Russia, 191014, Saint-Petersburg Mayakovsky str., 12.

Summary: Follow-up studies after minimally invasive manipulations – mechanical fenestration, chemical dereception and laser nucleoplasty of intervertebral disc – revealed sufficiently stable positive effect in 71.9, 64.1 and 78.5 per cent of the cases.

Key words: spinal osteochondrosis, intervertebral disk, punctional methods, treatment results.

References:

1. Минимально инвазивная хирургия позвоночника при дегенеративных заболеваниях / // Поленовские чтения: мат. Всероссийской научно–практической конф. – СПб., 2007. – С. 99 – 100.

2. Борщенко качества жизни после пункционной лазерной реконструкции межпозвонковых дисков при дегенеративном поражении позвоночника / [и др.]. Материалы IV съезда нейрохирургов России (Москва, 18-22 июня 2006 г.). – М., 2006. – С. 16.

3.  Пункционная лазерная вапоризация дегенерированных межпозвонковых дисков / , . – М.: РЕНЕЛ ПРИНТ, 2005. – 128 с.

4.  Эндоскопическая спинальная нейрохирургия // , . – Киев: А. Л.Д., РИМАНИ, 2000. – 216 с.

5.  Перспективы лечения дискогенных компрессионных форм пояснично-крестцовых радикулитов с помощью пункционных неэндоскопических лазерных операций / [и др.]. – Владивосток: Дальнаука ДВО РАН, 2004. – 181 с.

6.  Дегенеративно-дистрофические заболевания шейного отдела позвоночника / , . – М.: АБВ-Пресс, 2008. – 176 с.

7.  Поясничный остеохондроз / , , . – СПб.: РНХИ им. проф. , 2003. – 264 с.

8.  Блокады в неврологии и нейрохирургии / , . – СПб.: РНХИ им. проф. , 2007. – 160 с.

9. King W. A. Endoscopy of the central and peripheral nervous system / W. King, J. Frazee, A. DeSalles. – NY: Thieme, 1998. – 264 p.

10. Olinger A. Endoscopic spine surgery – Thoracoscopic, laparoscopic, retroperitoneoscopic / A. Olinger, U. Hildebrandt. – Tuttlingen: Endo-Press, 2001. – 46 p.

Information about the authors:

Shchedrenok Vladimir Vladimirovich – doctor of medicine, professor, main specialist Russian Polenov Neurosurgical Institute; tel. [phone]; e-mail: *****@***ru

Sebelev Konstantin Ivanovich – candidate of medical sciences, chief of neurorodiology department Polenov Neurosurgical Institute, tel. [phone]; e-mail: *****@***ru

Ivanenko Andrey Valentinovich – candidate of medical sciences, neurosurgeon Polenov Neurosurgical Institute, tel. [phone]; e-mail: *****@***ru

Moguchaya Olga Vladimirovna – doctor of medicine, professor, chief of department quality of medical care; tel. [phone]; e-mail: *****@***ru

Zevahkin Sergey Valentinovich – post-graduate Polenov Neurosurgical Institute; tel. [phone]; e-mail: *****@***ru

Chizhova Marija Viktorovna – post-graduate Polenov Neurosurgical Institute; tel. [phone]; e-mail: *****@***ru

1168

© A. G. Vasiliev, B. K. Komyakov, N. S. Tagirov, S. A. Musaev, 2009

UDC 616.613-003.7-089

Vasiliev A. G., Komyakov B. K., Tagirov N. S., Musaev S. A. Transurethral treatment of coral-like stones // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 97-101.

2State Educational Establishment of Higher Professional Training «Sankt-Petersburg state pediatric academy of the Federal Agency for Public Health and Social Development of the Russian Federation», 194100, St.-Petersburg, Litovskaya str., 2, tel. [phone], tel./fax: [phone], e-mail: *****@***ru

3State Educational Establishment of Higher Professional Training «Mechnikov Saint-Petersburg State Medical Academy of the Federal Agency for Public Health and Social Development of the Russian Federation», Russia, 195067, St.-Petersburg, К-67, Piskarevsky prospect, 47, tel.: [phone], fax: [phone], e-mail: *****@***com

Summary: The results of treatment study of patients with staghorn calculus (C. C.) were researched in this article. 53 patients with staghorn calculus had transurethral contact nephrolithotripsy. The majority of all patients were male (31-58, 4%).

Seven patients (13, 2%) had bilateral cases of C. C. 53 patients had sixty-four sessions of transurethral nephrolithotripsy. 48 patients (90,5%) were treated with monotherapy, and five patients (9, 5%) had monotherapy with distant lithotripsy. The average duration of transurethral contact nephrolithotripsy was 103 minutes. Under the dynamic supervision of patients eight patients had a tack set, 46 patients had an improvement of their functional kidney conditions according to radio isotopic research.

Thus, transurethral contact nephrolithotripsy is considered to be a very effective, minimally invasive method which helps patients to get rid of C. C. in 90, 5% cases.

Key words: coral-like stones, transurethral treatment

References:

1. , , М. Современные аспекты диагностики и лечения мочекаменной болезни // Урология. – 2006. - №2. - С. 6-12.

2.  К, И, , Дистанционная ударно-волновая литотрипсия в комплексном лечении коралловидного нефролитиаза единственной почки / Материалы Пленума правления Всероссийского общества урологов. - Саратов, 1998. - С. 291 – 292.

3.  Оперативное лечение осложненных форм коралловидного нефролитиаза // Урология. – 2002. - №4. - С. 23 – 27.

4.  Факторы, влияющие на результаты дистанционной ударно-волновой литотрипсии при нефроуретеролитиазе и оценка воздействия ударной волны на паренхиму почки. Дисс… канн. мед. наук. - М., 1994.

5. , Коралловидный нефролитиаз // Урология и нефрология. – 1994. - №1. - С. 5-8.

6. , Эффективность и перспективы современной эндоурологии / Материалы X Российского съезда урологов. - М., 2002. - С. 655-684.

7.  Лечение коралловидного нефролитиаза с использованием трансуретральной контактной литотрипсии и ДЛТ / Материалы Пленума правления Российского общества урологов. - М., 2003. - С. 227-228.

8. Limb J.,. Bellman G. C. Tubeless percutaneous renal surgeru: review of First 112 patients // Urology. – 2002. – Apr. – Vol.59 (4). – Р.527 – 531.

9. Mogensen P., Andersen J. T. Primary in sity extracorporeal shock wave lithotripsy for ureteral calculi // Scand J Urol. Nephrol Suppl.. – 1994. – Vol.157. P.159 – 163.

10. Wong M. Y. An update on percutaneous nephrolithotomy in the management of urinary calculi // Curr. Opin. Urol. – 2001. – Jul. – Vol.11 (4). – P.367 – 372.

Information about the authors:

Tagirov Nair Sobirovith – work tel.: [phone], home phone: [phone], mobile phone: [phone], fax: [phone]. Адрес электронной почты

1184

© O. E.Gurskaya, E. B. Miroshnikova, 2009

UDC 612.821.

Gurskaya O. E.1, Miroshnikova E. B.2 Use of independent component method and electromagnetic tomography in EEG analysis for diagnostics and prognosis in patients with posttraumatic long-lasting unconscious states // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 3 (32). – P. 101-105.

1State Institution Russian Academy of Sciences «N. P. Bechtereva Institute of the Human brain RAS», Russia, 197376, St.-Petersburg, Pavlov str. 9, tel.:[phone], fax: [phone], work tel.:[phone]. E-mail: *****@***spb. ru

2State Educational Establishment of Higher Professional Training «Mechnikov Saint-Petersburg State Medical Academy of the Federal Agency for Public Health and Social Development of the Russian Federation», Russia, 195067, St.-Petersburg, К-67, Piskarevsky prospect, 47, tel.: [phone], fax: [phone], e-mail: *****@***com

Summary. The aim of this work is asessing the diagnostic value of independent component analysis (ICA) and low resolution electromagnetic tomography (LORETA) applied to raw electroencephalogram (EEG) of patients in prolonged unconscious states (prolonged coma, vegetative state, minimally conscious state) after severe head injury. Application of the ICA method to the raw EEG of patients in prolonged unconscious states separate components with dominant power in delta band. They located in anterior parts of brain (basal frontal lobes), have a negative correlation link with Glasgo Outcome Scale (r = - 0,66 ; p = 0,005).

Key words: independent component analysis (ICA), low resolution electromagnetic tomography (LORETA), severe head injury, prolonged unconscious states

References:

1.  Нейрофизиологические механизмы произвольного внимания (аналитический обзор) // Журнал высшей нервной деятельности им. .- 2003. - Т. 53. - С. 133-150.

2.  Bell A. J., Sejnowski T. J. An information-maximization approach to blind separation and blind deconvolution // Neural Computation, 1995. - Vol. 7. - P. 1129-1159.

3.  Buzsaki G., Bickford R. G., Ponomareff G. et al. Nucleus basalis and thalamic control of neocortical activity in the freely moving rat // J. Neurosci., - 1988. - Vol. 8. - P. 4007- 4026.