[Complex use of ultrasound tomography in the algorithm of diagnostics for patients with acute destructive pancreatitis].
The article describes the experience of puncture aspiration biopsy in 136 patients (110 males and 26 females at the age of 19-74) with suspected destructive pancreatitis in one-day inpatient conditions, followed by microscopic and microbiological tests. In order to increase the diagnostic accuracy when detecting necrotic zones, 49 patients were examined by ultrasonic tomography using the color Doppler mapping and the method of energetic Doppler with subsequent spot puncture. The results of microbiological and cytological tests of the smear materials taken by fine-needle aspiration under ultrasonic control enable the authors to use the most efficient antibacterial therapy as well as to support the strategy of surgical treatment of destructive pancreatitis in its various forms in the conditions when clinical differential diagnosis is complicated. These methods increase the efficacy of medical treatment for this category of patients.
Mamoshin
A V
AV
Borsukov
A V
AV
D000328:Adult; D000368:Aged; D000465:Algorithms; D001419:Bacteria / Q000302:isolation & purification; D044963:Biopsy, Fine-Needle; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000473:pathology; D014054:Tomography / Q000379:methods*; D018615:Ultrasonography, Doppler, Color / Q000379:methods*