Novosti
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This journal is indexed in Scopus |
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Year 2010 Vol. 18 No 5
GENERAL AND SPECIAL SURGERY
SHESTIUK A.M., KARPITSKY A.S., PANKO S.V. , BOYFALIK R.I.
THE ROLE OF INSTRUMENTAL METHODS OF DIAGNOSTICS AT DETECTION OF ESOPHAGUS THORACIC REGION DAMAGES
Objectives. To evaluate the role of instrumental methods of diagnostics at detection of the esophagus thoracic regions damages.
Methods. The experience of medical aid rendering to 103 patients with the esophagus thoracic region trauma is analyzed in the article; these patients underwent in-patient treatment at hospitals of the Republic of Belarus.
Results. The interpretation of the examination results is found out to result in unnecessary mistakes in these patients. Among the instrumental methods of diagnostics of penetrating trauma of the esophagus thoracic region, only application of X-ray computer tomography of the thorax permits to detect the damage in 100%. Application of X-ray of the esophagus in 18,5%, X-ray of the thorax in 30,7%, fibroesophagoscopy in 31,7% of cases leads to false negative result.
Conclusions. X-ray computer tomography of the thorax especially with preliminary contrasting of the esophagus gives the possibility to reveal the perforation signs in the absolute number of examinations.
- Алиев, М. А. Диагностика и лечение повреждений пищевода / М. А. Алиев, Ш. Жураев, В. А. Потапов. – Алма-Ата, 1991. – 158 c.
- Повреждения пищевода: диагностика и тактика лечения / Б. А. Янгиев [и др.] // Вестн. хирургии. – 2003. – № 5. – С. 54-56.
- Franco, K. L. Advanced Therapy in Thoracic Surgery / K. L. Franco, J. B. Putnam, B. C. Decker. – London, 1998. – 527 p.
- Авилова, О. М. Диагностика и лечение спонтанных разрывов пищевода / О. М. Авилова, В. Г. Гетьман // Вестн. хирургии. – 1986. – № 3. – С. 56-60.
- Комаров, Б. Д. Повреждения пищевода / Б. Д. Комаров, Н. Н. Каншин, М. М. Абакумов. – М.: Медицина, 1981. – 176 с.
- Spontaneous rupture of the esophagus / E. Maggiore [et al.] // Minerva Chir. – 1991. – Vol. 15. – P. 617-622.
- Погодина, А. Н. Механические проникающие повреждения пищевода / А. Н. Погодина, М. М. Абакумов // Хирургия. – 1998. – № 10. – С. 20-24.