[Rapid diagnosis of purulent-destructive forms of acute calculous cholecystitis].
Results of examinations and treatment of 200 patients with acute calculous cholecystitis were analyzed. It is demonstrated that risk of purulent-destructive forms depends on nature of pathologic process in the gall bladder. Among patients with obstructive calculous cholecystitis 79.7% underwent surgery due to purulent-destructive forms of the disease, with non-obstructive calculous cholecystitis -- 38.9%. Risk of intraabdominal complications depends on the fact of obstruction of gallbladder neck and extrahepatic bile ducts. Algorithm of a rapid diagnosis was diagnosed. It permits to diagnose purulent-necrotic forms of acute calculous cholecystitis in 63.5% patients during 2 hours and in 85.7% patients during 6 hours from the time of hospitalization that ensures timely surgery.
Prudkov
M I
MI
Stolin
A V
AV
Karmatskikh
A Iu
AIu
D000293:Adolescent; D000328:Adult; D000368:Aged; D041881:Cholecystitis, Acute / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D005704:Gallbladder / Q000000981:diagnostic imaging*; D042882:Gallstones / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010173:Palpation / Q000379:methods; D015203:Reproducibility of Results; D012189:Retrospective Studies; D013492:Suppuration / Q000175:diagnosis / Q000209:etiology; D013997:Time Factors; D014463:Ultrasonography