Bulletin of RSMU

ISSN Print 2500–1094 ISSN Online 2542–1204

BIOMEDICAL JOURNAL OF PIROGOV UNIVERSITY (MOSCOW, RUSSIA)

This article presents an analytical review of the literature data and clinical observations of the authors on the actual problem of exacerbations of chronic suppurative otitis media in children. Contemporary possibilities of early diagnosis of the disease with high precision using a digital otoscope and computed tomography of the temporal bones were discussed. A rational approach to the treatment of chronic inflammatory diseases of the middle ear in terms of surgical technique was described. Presented methods of diagnosis and treatment allow not only to achieve the restoration of the affected anatomical structures of the middle ear, auditory function, but also to prevent otogenic complications in children.

Received: 2014-11-21

Published online: 2017-01-05

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Dobrokhotova YuE, Kheydar LA, Boyar EA, Sebko TV, Gvozdev AA, Filatova LA

The article shows the need for joint management of a pregnant woman suffering from the epilepsy by doctors of an obstetric-gynecologic profile and neurologists. It is emphasized the importance of prevention of fetal malformations, rational therapy of epilepsy during pregnancy and teratogenic hazard of antiepileptic drugs.

Received: 2014-10-07

Published online: 2017-01-05

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Makarov OV, Khashukoeva AZ, Kupeeva ES, Khlynova SA, Sukhova TN

The aim of the study was to evaluate the efficacy of photodynamic therapy in patients with dystrophic disease of the vulva. The method of photodynamic therapy using a photosensitizer fotoditazin is a promising one for the treatment of such diseases and can be an effective prevention of vulvar cancer.

Received: 2014-10-07

Published online: 2017-01-05

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Makarov OV, Narimanova MR

In this review of literature new tendencies in the questions of etiopathogenesis of ovarian cancer are highlighted. There are discussed some pathogenetic aspects in the progress of this pathology, such as proto-oncogenes and oncogenes. There are presented modern methods of screening and diagnostics of ovarian tumors. The opportunities of the application of biomarkers and their combinations for the early diagnostics of malignant ovarian neoplasms are discussed.

Received: 2014-10-07

Published online: 2017-01-05

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Dobrokhotova YuE, Grishin II, Ibragimova DM, Saprykina LV

The paper presents a method for the treatment of cervical pregnancy conducting a superselective embolization of the uterine arteries (leading to the cessation of blood flow along the branches of the uterine arteries supplying the cervical wall) by Embosphere microspheres 700–900 microns in size, and by HepaSphere microspheres 150–200 microns in size, as well as intra-arterial administration of methotrexate on one side in a dose of 25 mg and then vacuum aspiration of the ovum.

Received: 2014-10-07

Published online: 2017-01-05

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Nasyrova NI, Gallyamov EA, Ozolinya LA

The problem of correction of pelvic organ prolapse as well as its comorbid conditions are most actual problems in modern gynecology. Endoscopic procedures have been applied in this area and according to many authors this method provide rapid postoperative recovery and satisfactory results. We present the authors' own experience of laparoscopic sacrocolpopexy in combination with Burch colposuspension at the treatment of pelvic organ prolapse complicated with stress urinary incontinence.

Received: 2014-10-07

Published online: 2017-01-05

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Nasyrova NI, Gallyamov EA, Ozolinya LA, Gavrilov MV

Uterus myoma is the most common benign tumor of the female reproductive system. The most discussed method of treatment of this disease is a laparoscopic myomectomy. Along with recognized efficacy of the method, there are a number of difficulties associated with the problems of intraoperative blood loss and viability of sutures on the uterus. One of the effective solutions to the problems described above is the use of a temporary occlusion of the internal iliac arteries.

Received: 2014-10-07

Published online: 2017-01-05

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Saprykina LV, Dobrokhotova YuE, Filatova LA, Akimova LV, Saprykina OA, Ibragimova DM

The purpose of the study was to investigate the value of noninvasive and mini-invasive diagnostic methods of endometrial hyperplastic processes. 173 perimenopausal women were investigated. The accuracy of ultrasound investigation in case of endometrial pathology was 89.6%, sensitivity — 92.3 %, specificity — 64.71 %. The accuracy, sensitivity, specificity of Pipelle-biopsy was 93.9 %, 92.3 % and 100 %, respectively. Thus the ultrasound investigation can be used for early detection of endometrial pathology and should be accompanied by Pipelle-biopsy.

Received: 2014-10-07

Published online: 2017-01-05

DOI:

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