FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to surgery of bile ducts and can be applied for treatment of patients with different forms of cholangitis. Under control of ultrasonic examination and X-ray television transcutaneous and transhepatic introduction of drainage with diameter 9 Fr and its placement into one of common ducts of liver in such way, that working end of drainage is at the level of general hepatic duct, are performed. On the following day under control of ultrasonic examination and X-ray television laser light conductor is introduced into transhepatic drainage. Laser irradiation impact with wavelength 760 nm in pulse-periodical mode with duration of impulse 50 msec and interval 100 msec with irradiation power 0.25 W and time of impact 5 min is performed. Procedures are carried out every second day in quantity at least three for treatment course.
EFFECT: method makes it possible to reduce intoxication, improve general condition of patient by fast subsidence of inflammatory process, bactericidal, detoxification impact on endothelium of bile ducts and infected bile, which makes it possible to avoid open surgical operations on bile ducts.
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Authors
Dates
2013-09-10—Published
2012-06-07—Filed