UDC 61

MODERN IDEAS ABOUT EPIDURAL FIBROSIS (LITERATURE REVIEW)

Published в Acta biomedica scientifica · Volume 2, Issue 6, 2017 · Pages 27–33 · Rubrics: Neurology
DOI 10.12737/article_5a0a7f9e412601.50968513
Received: 14.11.2017 Accepted: 30.11.2017 Published: 30.11.2017
Authors
1 Irkutsk Scientific Center of Surgery and Traumatology (Clinical Research Department of Neurosurgery, Junior Research Officer)
from 24.12.1943 until now Irkutsk, Irkutsk region, Russian Federation
2 Irkutsk Scientific Center of Surgery and Traumatology (Director)
from 20.12.1939 until now Irkutsk, Irkutsk region, Russian Federation
3 Irkutsk, Irkutsk region, Russian Federation
4 Irkutsk, Irkutsk region, Russian Federation
5 Irkutsk, Irkutsk region, Russian Federation
6 Irkutsk, Irkutsk region, Russian Federation
Epidural'nyy fibroz – eto dinamicheskiy patologicheskiy process, razvivayuschiysya i progressiruyuschiy vo vremeni i yavlyayuschiysya polietiologichnym i mul'tifaktornym oslozhneniem v posleoperacionnom periode pri operaciyah na pozvonochnike. Epidural'nyy fibroz formiruetsya vokrug dural'nogo meshka i sosudisto- nervnyh obrazovaniy pozvonochnogo kanala v posleoperacionnom periode i yavlyaetsya odnoy iz chastyh prichin sindroma neudachno operirovannogo pozvonochnika. Pri povtornyh hirurgicheskih vmeshatel'stvah epidural'nyy fibroz vstrechaetsya v 100 % sluchaev, chto uslozhnyaet operacionnuyu tehniku raboty s dural'nym meshkom i na sosudisto-nervnyh obrazovaniyah, raspolozhennyh v pozvonochnom kanale, privodya k ih povrezhdeniyam. V dannom obzore rassmotreny istoriya voprosa, nekotorye aspekty anatomii, etiologii, patogeneza i patofiziologii rubcovo-spaechnogo epidurita. Analiz literaturnyh dannyh pokazyvaet vysokiy interes issledovateley k vyyavleniyu kriteriev diagnostiki, prognozirovaniya i metodov profilaktiki epidural'nogo fibroza. Odnako v nastoyaschee vremya otsutstvuyut chetkie klinicheskie rekomendacii dlya obsledovaniya pacientov i kriterii prognozirovaniya epidural'nogo fibroza posle provedennyh operaciy na pozvonochnike. Suschestvuyuschie metody vizualizacii i diagnostiki ne obladayut vysokoy specifichnost'yu i chuvstvitel'nost'yu otnositel'no dannogo processa, chto trebuet kompleksnogo podhoda v ustanovke diagnoza. Epidural'nyy fibroz ostaetsya slozhnoy i nereshennoy problemoy kak v profilaktike i diagnostike, tak i v lechenii, privodit k stoykomu bolevomu sindromu, ne poddayuschemusya konservativnomu lecheniyu i, kak sledstvie, k invalidnosti v kategorii bol'nyh trudosposobnogo vozrasta, chto predstavlyaet soboy ser'eznuyu mediko-social'nuyu problemu.
pozvonochnik epidural'nyy fibroz etiologiya patogenez
Text (PDF): Read Download
References

1. Sovremennye predstavleniya ob epidural'nom fibroze

Login or Create
* Forgot password?