ËÅ×ÅÍÈÅ ÁÎËÅÇÍÈ ÏÅÉÐÎÍÈ - cyberleninka.ru filepeyronie’s disease is a serious...

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8 8 7 ʋ4x 2006 i ɬɨɦ 14 ɇȽ . ɒȿȻɍɒȿȼ, Ⱥɋ. ɄɇəɁɘɄ, ȻɈ. ɄȺȻȿɒȿȼ, ɋɇ. ɅɂɌȼɂɇȿɇɄɈ ËÅ×ÅÍÈÅ ÁÎËÅÇÍÈ ÏÅÉÐÎÍÈ ɍɈ «Ƚɨɦɟɥɶɫɤɢɣ ɝɨɫɭɞɚɪɫɬɜɟɧɧɵɣ ɦɟɞɢɰɢɧɫɤɢɣ ɭɧɢɜɟɪɫɢɬɟɬ», Ɋɟɫɩɭɛɥɢɤɚ Ȼɟɥɚɪɭɫɶ Ȼɨɥɟɡɧɶ ɉɟɣɪɨɧɢ ɹɜɥɹɟɬɫɹ ɚɤɬɭɚɥɶɧɨɣ ɩɪɨɛɥɟɦɨɣ ɫɨɜɪɟɦɟɧɧɨɣ ɦɟɞɢɰɢɧɵ. ɂɡɡɚ ɨɬɫɭɬɫɬɜɢɹ ɱɟɬɤɢɯ ɩɪɟɞɫɬɚɜɥɟɧɢɣ ɨɛ ɷɬɢɨ- ɩɚɬɨɝɟɧɟɡɟ ɞɚɧɧɨɝɨ ɡɚɛɨɥɟɜɚɧɢɹ ɤɨɥɢɱɟɫɬɜɨ ɪɚɛɨɬ , ɩɨɫɜɹɳɟɧɧɵɯ ɨɩɬɢɦɚɥɶɧɵɦ ɦɟɬɨɞɢ- ɤɚɦ ɜɨɫɫɬɚɧɨɜɢɬɟɥɶɧɨɝɨ ɥɟɱɟɧɢɹ ɛɨɥɶɧɵɯ ɛɨɥɟɡɧɶɸ ɉɟɣɪɨɧɢ, ɤɪɚɣɧɟ ɧɟɞɨɫɬɚɬɨɱɧɨ. Ȼɨɥɟɡɧɶ ɉɟɣɪɨɧɢ ɩɪɟɞɫɬɚɜɥɹɟɬ ɫɟɪɶɟɡɧɭɸ ɩɪɨɛɥɟɦɭ ɜ ɫɨɜɪɟɦɟɧɧɨɣ ɦɟɞɢɰɢɧɟ. ɉɨɷɬɨɦɭ ɬɪɟɛɭɟɬɫɹ ɞɚɥɶɧɟɣɲɟɟ ɢɡɭɱɟɧɢɟ ɞɚɧɧɨɣ ɩɚɬɨɥɨɝɢɢ, ɪɚɡɪɚɛɨɬɤɚ ɧɨɜɵɯ, ɷɮɮɟɤɬɢɜɧɵɯ ɦɟɬɨɞɢɤ ɥɟ- ɱɟɧɢɹ ɢ ɜɧɟɞɪɟɧɢɟ ɢɯ ɜ ɤɥɢɧɢɱɟɫɤɭɸ ɩɪɚɤɬɢɤɭ . ɗɬɚ ɩɪɨɛɥɟɦɚ ɫɬɚɧɨɜɢɬɫɹ ɨɫɨɛɟɧɧɨ ɚɤɬɭɚɥɶɧɨɣ ɜ ɫɜɹɡɢ ɫ ɭɜɟɥɢɱɟɧɢɟɦ ɫɥɭɱɚɟɜ ɡɚɛɨɥɟɜɚɧɢɹ ɡɚ ɩɨɫɥɟɞɧɢɟ ɝɨɞɵ. ȼ ɧɚɫɬɨɹɳɟɟ ɜɪɟɦɹ ɡɚɛɨɥɟɜɚɟ- ɦɨɫɬɶ ɫɨɫɬɚɜɥɹɟɬ 1-2% ɦɭɠɫɤɨɝɨ ɧɚɫɟɥɟɧɢɹ, ɢɥɢ 388 ɫɥɭɱɚɟɜ ɧɚ 100 000 ɱɟɥɨɜɟɤ. ȼ ɫɬɚɬɶɟ ɩɪɟɞɫɬɚɜɥɟɧ ɨɛɡɨɪ ɥɢɬɟɪɚɬɭɪɵ ɩɨ ɞɚɧɧɨɣ ɩɪɨɛɥɟɦɟ (ɩɪɢɱɢɧɵ ɡɚɛɨɥɟɜɚɧɢɹ, ɤɥɢ- ɧɢɱɟɫɤɢɟ ɩɪɢɡɧɚɤɢ, ɫɬɚɞɢɢ, ɜɨɡɦɨɠɧɵɟ ɨɫɥɨɠɧɟɧɢɹ, ɦɟɬɨɞɵ ɞɢɚɝɧɨɫɬɢɤɢ, ɢɦɟɸɳɢɟɫɹ ɜ ɥɢɬɟɪɚ- ɬɭɪɟ ɦɟɬɨɞɵ ɤɨɧɫɟɪɜɚɬɢɜɧɨ ɢ ɨɩɟɪɚɬɢɜɧɨɝɨ ɥɟɱɟɧɢɹ), ɪɟɡɭɥɶɬɚɬɵ ɢɫɫɥɟɞɨɜɚɧɢɹ ɛɨɥɶɧɵɯ ɡɚ ɢɧ- ɬɟɪɜɚɥ 10 ɥɟɬ (ɫ 1996ɝ ɩɨ 2005ɝ , 99 ɫɥɭɱɚɟɜ ɡɚɛɨɥɟɜɚɧɢɹ), ɜ ɯɨɞɟ ɤɨɬɨɪɨɝɨ ɩɪɨɜɟɞɟɧɚ ɨɰɟɧɤɚ ɩɪɨ- ɜɨɞɢɦɨɝɨ ɪɚɧɟɟ ɥɟɱɟɧɢɹ ɞɚɧɧɨɣ ɩɚɬɨɥɨɝɢɢ, ɩɪɨɚɧɚɥɢɡɢɪɨɜɚɧɚ ɡɚɜɢɫɢɦɨɫɬɶ ɪɟɡɭɥɶɬɚɬɨɜ ɥɟɱɟɧɢɹ ɨɬ ɤɨɥɢɱɟɫɬɜɚ ɩɪɨɜɨɞɢɦɵɯ ɤɭɪɫɨɜ ɬɟɪɚɩɢɢ, ɨɬ ɩɟɪɜɨɧɚɱɚɥɶɧɨɝɨ ɪɚɡɦɟɪɚ ɛɥɹɲɤɢ, ɨɬ ɜɪɟɦɟɧɢ ɩɟɪ- ɜɨɝɨ ɨɛɪɚɳɟɧɢɹ ɩɚɰɢɟɧɬɚ ɡɚ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɶɸ, ɨɬ ɩɪɢɦɟɧɟɧɢɹ ɪɚɡɥɢɱɧɵɯ ɦɟɬɨɞɨɜ ɦɟɞɢɤɚ- ɦɟɧɬɨɡɧɨɣ ɬɟɪɚɩɢɢ ɢ ɮɢɡɢɨɬɟɪɚɩɢɢ. ɉɪɨɜɟɞɟɧɚ ɨɰɟɧɤɚ ɨɬɞɚɥɟɧɧɵɯ ɪɟɡɭɥɶɬɚɬɨɜ ɩɪɨɜɨɞɢɦɨɝɨ ɥɟ- ɱɟɧɢɹ. ɇɚ ɨɫɧɨɜɟ ɞɚɧɧɨɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɩɪɟɞɥɚɝɚɟɬɫɹ ɧɚɢɛɨɥɟɟ ɷɮɮɟɤɬɢɜɧɚɹ ɫɯɟɦɚ ɥɟɱɟɧɢɹ ɞɚɧ- ɧɨɣ ɩɚɬɨɥɨɝɢɢ. Peyronie’s disease is a serious problem in modern medicine. That’s why further study of this disease, development of new and effective therapeutic methods, and their application in the real clinical practice are required. This problem is becoming especially actual because of the disease case increase during the last years. At present, sickness rate of the male population comprises 1-2% or 388 cases out of 100000 people. In this article we suggest the literature review on this topic (causes, clinical features, stages, possible complications, diagnostic methods, conservative and surgical methods of treatment). We have also provided the results of a 10-year research (from 1996 till 2005, 99 cases) in which we have evaluated the treatment of this pathology, have analyzed the correlation between the results of treatment and the number of performed therapy courses, initial size of plaques, how early a patient has applied for medical help, and application of different methods of medical therapy and physiotherapy. We have evaluated the long term results of the treatment. On the basis of our research results, we offer the most effective scheme of this pathology treatment. ɉɨɷɬɨɦɭ ɬɪɟɛɭɟɬɫɹ ɞɚɥɶɧɟɣɲɟɟ ɢɡɭɱɟɧɢɟ ɞɚɧɧɨɣ ɩɪɨɛɥɟɦɵ, ɪɚɡɪɚɛɨɬɤɚ ɧɨɜɵɯ, ɷɮ- ɮɟɤɬɢɜɧɵɯ ɦɟɬɨɞɢɤ ɥɟɱɟɧɢɹ ɢ ɜɧɟɞɪɟɧɢɟ ɢɯ ɜ ɤɥɢɧɢɱɟɫɤɭɸ ɩɪɚɤɬɢɤɭ . ɗɬɚ ɩɪɨɛɥɟɦɚ ɫɬɚɧɨɜɢɬɫɹ ɨɫɨɛɟɧɧɨ ɚɤɬɭɚɥɶɧɨɣ ɜ ɫɜɹɡɢ ɫ ɭɜɟɥɢɱɟɧɢɟɦ ɫɥɭɱɚɟɜ ɡɚɛɨɥɟɜɚɧɢɹ ɡɚ ɩɨɫ- ɥɟɞɧɢɟ ɝɨɞɵ.

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Page 1: ËÅ×ÅÍÈÅ ÁÎËÅÇÍÈ ÏÅÉÐÎÍÈ - cyberleninka.ru filePeyronie’s disease is a serious problem in modern medicine. That’s why further study of this That’s why further

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Peyronie’s disease is a serious problem in modern medicine. That’s why further study of thisdisease, development of new and effective therapeutic methods, and their application in the real clinicalpractice are required. This problem is becoming especially actual because of the disease case increaseduring the last years. At present, sickness rate of the male population comprises 1-2% or 388 cases outof 100000 people.

In this article we suggest the literature review on this topic (causes, clinical features, stages,possible complications, diagnostic methods, conservative and surgical methods of treatment). We havealso provided the results of a 10-year research (from 1996 till 2005, 99 cases) in which we have evaluatedthe treatment of this pathology, have analyzed the correlation between the results of treatment and thenumber of performed therapy courses, initial size of plaques, how early a patient has applied for medicalhelp, and application of different methods of medical therapy and physiotherapy. We have evaluated thelong term results of the treatment. On the basis of our research results, we offer the most effectivescheme of this pathology treatment.

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