[Method of determination of the reversibility of circulatory disorders in the limbs in anaerobic gas infection].
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Biomedical subjects
Publications and source records attributed to L S Grakova.
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Three degrees of ovarian varicocele in sterile women or women with menstrual disturbance were described on the basis of analysis of 62 superselective ovariophlebograms. A nonsurgical pathogenetic method for correction of ovarian hypofunction in disturbed circulation in the venous region of the pelvic organs was developed by cutting off the ovarian vein from the pathological renocaval vascular shunt with the help of roentgenovascular intervention. It is based upon transcatheter occlusion of the left ovarian vein and directly follows diagnostic phlebography. Roentgenoendovascular occlusion of the left ovarian vein was performed in 41 patients Ivanissevich's operation--in 8 patients. In 4-18 months after intervention, improved results of a clinical picture and functional diagnostic tests were observed in 46 patients. Of 19 women with passable uterine tubes 14 got pregnant.
The paper is devoted to clinico-roentgenological correlations of venous reno-gonadal hemodynamics in 168 women of reproductive age (151 women with infertility, habitual abortion, disordered menstrual function and 17 patients without disorders of the reproductive tract). Clinico-laboratory investigation was followed by visceral and parietal phlebography for the detection of a pathological venous reflux into the ovarian pampiniform plexus. A retrograde blood flow along the internal ovarian vein with the development of venostasis and secondary pelvic varicocele was diagnosed in 67 women with disturbed reproductive function. In 17 women without disorders of reproductive function a reno-gonadal venous reflux was undetectable. Clinico-roentgenological semiotics of chronic venous ovarian insufficiency was analyzed. Infertility was shown to be the main clinical manifestation of ovarian varicocele.
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Fifty six patients with suspected spinal metastases were examined. A diagnostic algorithm included native and contrast (the paramagnetic contrast agent magnevist (Shering) magnetic resonance tomography (MRT) of the spine and spinal marrow. The diagnosis of spinal metastases was verified in all patients examined by using magnevist. Spinal metastases most commonly gave rise to the breast (55%), prostate (20%), lung (10%). The results of the study provide evidence that the use of magnevist enhances the informative value and specificity of MRT in the diagnosis of spinal metastases.