ISSN 2394-5125
 

Research Article 


THE IMPACT OF LASER METHODS IN THE TREATMENT OF PURULENT-DESTRUCTIVE DISEASES OF SOFT TISSUES

Oktabr RuhullayevichTeshayev, Alijon Salimovich Muradov, Olimboy Razzokovich Mavlanov.

Abstract
Purpose of the study.Optimization of treatment methods of purulent-destructive diseases due to the local application of photodynamic therapy (PDT) and CO2 laser.
Materials and methods. A survey and treatment of 335 patients with purulent wounds of soft tissues was performed. Depending on the treatment, the patients were conditionally divided into 2 groups: the 1st (control group) included 171 patients who underwent generally accepted traditional methods of treatment; in the 2nd group (main group) 164 patients who, in combination with traditional methods, were treated with PDT (a 0.05% methylene coeruleum buffer solution was used as a photosensitizer) and a CO2 laser. Clinical, microbiological, morphological and planimetric methods were studied to evaluate the effectiveness of the method.
Results.Photodynamic therapy with light emitter ALT-Vostok-03 is a rather effective non-invasive and gentle method for treating purulent wounds and justifies the use of photodynamic therapy in clinical practice for the treatment of local acute purulent-inflammatory processes in combination with a CO2 laser and traditional treatment methods. In patients of the main group, normalization of temperature and heart rate was observed at 2.0 0.5 days, a decrease in LII (Leukocyte Intoxication Index) to a normal level was observed at 7.0 0.5 days after treatment. An analysis of the dynamics of clinical manifestations showed that the treatment of purulent wounds using photodynamic therapy with a photosensitizer of the blue blizzard leads to a rapid decrease in perifocal inflammatory manifestations. Hyperemia of the skin around purulent wounds and a decrease in perifocal inflammation persisted for 3.5 0.5 days, a decrease in local edema was noted for 2.0 0.5 days. The average length of hospital stay in patients of the main group averaged 5.0 2.5 bed days. After 3-5 sessions of PDT with a photosensitizer, methylene coeruleum in the main group, the microbial contamination decreased to a critical level, and after 6-8 sessions there was no microbial growth.
Conclusion.The combined use of PDT and CO2 laser is the most effective treatment compared to traditional methods, which leads to earlier cleansing of pus, active formation of granulation tissue and shortening the time for complete epithelization of the wound surface.

Key words: Photodynamic therapy, photosensitizer, methylene coeruleum, Streptococcus pyogenes. microbe, CO2 laser, laser surgery, planimetry


 
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How to Cite this Article
Pubmed Style

Oktabr RuhullayevichTeshayev, Alijon Salimovich Muradov, Olimboy Razzokovich Mavlanov. THE IMPACT OF LASER METHODS IN THE TREATMENT OF PURULENT-DESTRUCTIVE DISEASES OF SOFT TISSUES. JCR. 2020; 7(17): 2210-2219. doi:10.31838/jcr.07.17.272


Web Style

Oktabr RuhullayevichTeshayev, Alijon Salimovich Muradov, Olimboy Razzokovich Mavlanov. THE IMPACT OF LASER METHODS IN THE TREATMENT OF PURULENT-DESTRUCTIVE DISEASES OF SOFT TISSUES. http://www.jcreview.com/?mno=95973 [Access: August 18, 2021]. doi:10.31838/jcr.07.17.272


AMA (American Medical Association) Style

Oktabr RuhullayevichTeshayev, Alijon Salimovich Muradov, Olimboy Razzokovich Mavlanov. THE IMPACT OF LASER METHODS IN THE TREATMENT OF PURULENT-DESTRUCTIVE DISEASES OF SOFT TISSUES. JCR. 2020; 7(17): 2210-2219. doi:10.31838/jcr.07.17.272



Vancouver/ICMJE Style

Oktabr RuhullayevichTeshayev, Alijon Salimovich Muradov, Olimboy Razzokovich Mavlanov. THE IMPACT OF LASER METHODS IN THE TREATMENT OF PURULENT-DESTRUCTIVE DISEASES OF SOFT TISSUES. JCR. (2020), [cited August 18, 2021]; 7(17): 2210-2219. doi:10.31838/jcr.07.17.272



Harvard Style

Oktabr RuhullayevichTeshayev, Alijon Salimovich Muradov, Olimboy Razzokovich Mavlanov (2020) THE IMPACT OF LASER METHODS IN THE TREATMENT OF PURULENT-DESTRUCTIVE DISEASES OF SOFT TISSUES. JCR, 7 (17), 2210-2219. doi:10.31838/jcr.07.17.272



Turabian Style

Oktabr RuhullayevichTeshayev, Alijon Salimovich Muradov, Olimboy Razzokovich Mavlanov. 2020. THE IMPACT OF LASER METHODS IN THE TREATMENT OF PURULENT-DESTRUCTIVE DISEASES OF SOFT TISSUES. Journal of Critical Reviews, 7 (17), 2210-2219. doi:10.31838/jcr.07.17.272



Chicago Style

Oktabr RuhullayevichTeshayev, Alijon Salimovich Muradov, Olimboy Razzokovich Mavlanov. "THE IMPACT OF LASER METHODS IN THE TREATMENT OF PURULENT-DESTRUCTIVE DISEASES OF SOFT TISSUES." Journal of Critical Reviews 7 (2020), 2210-2219. doi:10.31838/jcr.07.17.272



MLA (The Modern Language Association) Style

Oktabr RuhullayevichTeshayev, Alijon Salimovich Muradov, Olimboy Razzokovich Mavlanov. "THE IMPACT OF LASER METHODS IN THE TREATMENT OF PURULENT-DESTRUCTIVE DISEASES OF SOFT TISSUES." Journal of Critical Reviews 7.17 (2020), 2210-2219. Print. doi:10.31838/jcr.07.17.272



APA (American Psychological Association) Style

Oktabr RuhullayevichTeshayev, Alijon Salimovich Muradov, Olimboy Razzokovich Mavlanov (2020) THE IMPACT OF LASER METHODS IN THE TREATMENT OF PURULENT-DESTRUCTIVE DISEASES OF SOFT TISSUES. Journal of Critical Reviews, 7 (17), 2210-2219. doi:10.31838/jcr.07.17.272