THE ALGORITHM OF COMPLEX EXAMINATION OF THE SOFT TISSUES DURING TREATMENT OF SPINAL PATIENTS WITH PRESSURE WOUNDS AND CHRONIC OSTEOMYELITIS
The objective of the research – estimate information content of indicators of the soft tissues status in spinal patients with pressure ulcers and chronic osteomyelitis of the sacrum and hip and the creation of an algorithm for clarifying diagnostic parameters. The materials and methods. The group spinal patients (n = 19) with pressure ulcers and chronic osteomyelitis of various localization was examined. The age of the patients was from 20 to 70 years. The local electric and infrared thermometry, biomechanical testing (BT) of skin near the wound, soft tissue echography were used. Results and resume. BT took into account the anisotropic properties of the skin, that indirectly allows to track the dynamics of the stress distribution in the skin from pressure wounds as well as to determine criteria for its state close to the overstretching. The tendency to a decrease of indicators of both types of thermometer has been established after surgery. The structure of differ soft tissues near bedsore was pathological disorders. Complex techniques of non-invasive assessment of the soft tissue near the bedsores in different periods of treatment was formed.