ULTRASOUND SCANNINGAS AN EFFECTIVE METHOD OF DIAGNOSING OF EXUDATIVE PLEURISY IN CHILDREN
ULTRASOUND SCANNINGAS AN EFFECTIVE METHOD OF DIAGNOSING OF EXUDATIVE PLEURISY IN CHILDREN
Bahodurov J.T., Ibodov H.I., Rofiev R.R., Asadov S.K., Nurov M.S.
ULTRASOUND SCANNINGAS AN EFFECTIVE METHOD OF DIAGNOSING OF EXUDATIVE PLEURISY IN CHILDREN
Department of Pediatric Surgery, Anesthesiology and Reanimatology of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”
Aim.Determination of the value of ultrasound scanning in the diagnosis of lung diseases such as exudative pleurisy in children.
Materials and methods. Investigated the clinical and laboratory, radiographical, CT, MRCI and ultrasound scan data of 76 patients with a diagnosis of pleural effusion in age from 1 month to 15 years.
Results. Based on the clinical and laboratory, radiographical, MRCI and ultrasound scan data of 76 patients in 3 diagnosed lung cancer, in 5 specific process, and in rest 68 children set pulmonary-pleural form of bacterial destructive pneumonia. At bacteriological research in 15 patients sown staphilococcus, in 6 — streptococcus, and in 7 — klebsiella. In other 43 cases, microorganism growth is not detected. At ultrasound examination of presumptive defeat zones lung tissue was visualized as a set of cellular structures or destructive changes, and at a depth of 0,5-0,9 cm from pleural sheets started to delaminate planar structures formed vessels and bronchial tubes. At empieme of pleural cavity the presence of echogenic suspensions was revealed, the maximum thickness of the parietal pleura was 5,2±0,3 mm, as opposed to other types of pleuritis. A reliable signs of metastatic pleuritis were: homogeneous pleural contents, the minimum thickness of parietal pleura 3,5±0,3 mm.
Conclusion. Comparison results of ultrasound examination of pleuritis with data morphological research, obtained at puncture biopsy of pleura controlled by ultrasound examination, showed their high correlation in identifying of etiology of pleural effusion. Using of duplex ultrasound scan at complex ultrasound examination allowed to reveal flow in the formations subpleural located in lung parenchyma of tumor etiology, in contrast to formation of inflammatory genesis.
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