MINISTRY OF HEALTH OF UZBEKISTAN NEUROSURGERY DEPARTMENT OF SAMARKAND STATE MEDICAL INSTITUTE
Surgical treatment and immunorehabilitation of patients with echinococcus of cerebrum Abdurakhmon M. Mamadaliyev Professor, M. D. , Ph. D. Academician of the Academy medicotechnics science of Russian Federation, The chairman of Neurosurgery Department of Samarkand State Medical Institute, Vice-president of the Association of Uzbekistan Neurosurgeons, Member of Executive Committee ACNS
n The goal of investigation is the study of the immune status at echinococcus of cerebrum in pre and host operating period analysis of the results obtained after the usage of immunocorrective remedies.
n We have elaborated the new surgical method of ablation of echinococcus cyst of cerebrum and studied the immune status of patients in pre and post-operating period.
n We have examined 79 patients (46 women and 33 men) who have undergone the operation at the clinics of Neurosurgery at Samarkand Medical Institute on echinococcus of cerebrum the age of patients from 3 to 30 years.
n At the patients were for diagnostics and complex treatment thoroughly examined clinically and with the help of computer-tomographical and immunological methods which are considered to be the main viteria of pre operating diagnostics.
n The surgical intervention was done by bone-plastical trepanation of the skull by the method introduced at our clinics, at which the integrity of parasitical cyst is preserved. The essence of the suggested method is in the usage of the ordinary surgical glove, half of which is filled by the sterile physiological (salt) solution of natrium chloride, the fingers of which are put into operation by means of cerebrum palette-knife into the aim between the brain and cyst wall. After that the neurosurgeon by means of successive and pulse movements of glove fingers safely and not injuring the capsule extract (remove) the echinococcus cyst.
n Immunologic indices in patients before operation were T-lymphocytes 46, 5± 0, 5%, T-helpers – 33, 1± 0, 9%, Blymphocytes – 24, 2± 0, 9%. General amount of T-suppressors did not practically change in sick people with echinococcus in comparition with healthy people. And they were 7, 9± 0, 4% and 8, 1± 0, 5% accordingly.
n Thus for the efficiency rife of surgical treatment before and after operation it is necessary to apply immunocorrectors Tactivin and immunomoduline on scheme. It promotes immunology indices normalization and recovery’s acceleration.
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