FIELD: medicine.
SUBSTANCE: invention relates to field of medicine. During visual examination biopsy of ligature fistula wall with the following morphologic analysis of biopsy material is performed. Character of inflammation and ploidy of fibroblast neuclei are determined, obtained results are assessed and treatment tactics is selected depending on them. If values of ploidy of fibroblast nuclei are ≥2.9 c and acute exudative inflammation is present, conservative treatment is administered. If values of ploidy of fibroblast nuclei are >2.2 and <2.9 c and chronic proliferative interstitial inflammation is present, surgical intervention is administered in volume of fistula dissection and ablation of ligatures. If values of ploidy of fibroblast nuclei are ≤2.2 c and chronic proliferative granulomatous inflammation is present, surgical treatment in volume of fistula excision is administered.
EFFECT: invention makes it possible to perform selection of tactics of recurring ligature fistula treatment.
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Authors
Dates
2013-05-10—Published
2012-02-16—Filed