Abstrato
The use of fluorescent spectroscopy and other techniques for prognosis of the course of postpartum purulent-inflammatory diseases
Olga Bulavenko, Lesia Ostapiuk, Victor Rud, Anatoliy Voloshinovskii, Taras Malyi, Oleksii Rud
Current features of the course of postpartum purulent-inflammatory diseases, rise of erased and atypical forms require investigation of new ways of early diagnosis and further prognosis of the course of aforementioned diseases. Aim: To identify the main factors that enables the prognosis of the course of postpartum purulent-inflammatory diseases. Material and methods: The main group 170 women with postpartum purulent-inflammatory diseases, control group-40 women with an uncomplicated course of the postpartum period. We analysed 42 parameters such as the unique features of case history, the course of pregnancy, parturition, the data from clinical, laboratory and instrumental examination, including the results derived from the use of fluorescent spectroscopy (FS) in blood serum (BS) analysis. Results: Based on a thorough analysis and statistical processing of the results of investigation, the core predictive factors of the development of postpartum purulent-inflammatory diseases were established. It was found out that the common features across the main group of patients are extragenital pathology, gynecological conditions based on case history, a risk of miscarriage, complications during pregnancy, colpitis, TORCH-infections, duration of parturition for over 12 hours, presence of parturition anomalies and foetal distress. Additionally, concerning the main patient's cohort, a number of significant risk factors influencing emergence of postpartum endometritis were identified. These factors are: the presence of acute respiratory illnesses, a risk of miscarriage, including a number of surgical interventions, and genital tearing during parturition. Based on the results of blood serum (BS) investigation using fluorescent spectroscopy (FS) it was established that the main parameters used for prognosis of postpartum purulent-inflammatory diseases are a decline in fluorescent intensity and a presence of long-wave shift