Bukhara State medical institute, Uzbekistan
The diabetes mellitus is an important medico-social problem pragmatically of all countries. In the Republic of Uzbekistan, as well as worldwide, high growth rates of incidence of DM are noted. According to the researchers conducted in 2014–2019 prevalence of a diabetes mellitus 2 types in Uzbekistan make 7, 9% among persons aged 35 years are more senior. Patients with DM and CILE represent heavy group of patients with high risk of failures. Frequency of amputations remains high at persons with DM and now. One of the most worthy and methods of a research often now in use of a condition of the microcirculatory course is the transcutaneous oximetry. From the offered methods the transcutaneous oximetry shows to sufficient informational content for determination of optimum level of amputation.
The results of treatment of 68 patients operated by the mixed infected forms of diabetic foot with critical ischemia of the lower extremities are subjected to the analysis.
19 examined patients amputated at the level of a crus, the line of border of amputation determined before operation on indicators the basal level of oxygen not less than 30 mm Hg.
Given to a transcutaneous oximetry (tpcO2) at these patients showed that in a zone of the expressed fabric hypoxia the sowing of high level of microflora is noted.
The analysis of the received results of our research was shown that at severe forms of critical ischemia of the lower extremity modern method is amputation at the level of a crus by Mitish. The combination of operation of Mitish to application transcutaneous oximetry (tcpO2) before operation promotes will lower postoperative purulent complications of a stump.
Diabetes Mellitus, Critical Ischemia Of The Lower Extremities, Amputation, Transcutaneous Oximetry
