Global Journal of Medical Research, F: Diseases, Volume 22 Issue 1
Pic 1: Carbuncle of the posterior surface of the neck after dissection. Fibrinous purulent exudate on the day of the wound. Pic 2: The state of the wound after the 1st session of the CO 2 laser Pic 3: The state of the wound after the 3rd session of the CO 2 laser (5th day, after the opened abscess). There is no Fibrinous purulent exudate, there are signs of granulation on the wound. Observation of the course of purulent wounds in dynamics showed that the cleansing of wounds from purulent-necrotic masses during the traditional treatment occurred on the days 7.0 ± 0.5 (on the 4.5 ± 0.5 th day in the main group I and 3,8±0,5 in the main group II), the appearance of granulations was noted on 7.5 ± 0.7th days (on the 5.0 ± 0.6 th day in the main group I and 4,0±0,5 in the main group II), and marginal epithelization was detected on 8.0 ± 0.7th days (on the 6, 5 ± 0.5 th day in the main group I and 5,5±0,5 in the main group II) after surgical treatment of a purulent focus - table 8. The average length of hospital stay for patients in the control group averaged 9.5 ± 3.5 bed- days (7.5 ± 3.0 in the main group I and 6,0±2,5 in the main group II) - after a PDT session and a CO 2 laser, the terms decreased in the main group II. Table 9: Comparative characteristics of the wound process depending on the treatment performed in dynamics Groups Medium terms (days) Wound cleaning Appearance of granulation Onset of marginal epithelialization Control group 7,0±0,5 7,5±0,6 8,0±0,7 Main group I 4,5±0,5 5,0±0,6 6,5±0,5 Main group II 3,8±0,5 4,0±0,6 5,5±0,5 The staged planimetric studies carried out showed that in the main groups of patients, where PDT and CO 2 laser were used for treatment, the area of purulent wounds decreased faster than in the control group - Table 14. Thus, in patients of main group II, the area of purulent wounds decreased by 10th days by 72.7%, in patients in the main group this indicator is 69.5%, while with traditional treatment the area of purulent wounds decreased by 59.9% (p <0.05). 5 Year 2022 Global Journal of Medical Research Volume XXII Issue I Version I ( D ) F © 2022 Global Journals Optimization of Treatment Methods for Purulent-Destructive Soft Tissue Diseases through the use of Laser Treatment Methods
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