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CHAPTER 5. EFFICIENCY OF ULTRASONIC TECHNIQUES IN DIAGNOSTICS AND PLANNING OF TREATMENT OF PATIENTS WITH TUMOURS AND OPUHOLEPODOBNYMI FORMATIONS OF SOFT TISSUES IN OUT-PATIENT CONDITIONS

Differential diagnostics of tumours and opuholepodobnyh formations of soft tissues was one of research problems. This problem in most cases did not manage to be solved definitively during primary clinical inspection.

The majority of patients were referred on ultrasonic with the preliminary diagnosis «a tumour of soft tissues?». Meanwhile the differentiation of "true tumours» and opuholepodobnyh formations had an essential role in definition of tactics and the operative technics of surgical treatment. « True tumours »it was necessary to operate with observance"ablasticheskih"rules: ekstsizija within healthy tissues should be executed the uniform block. Besides, for definition of tactics of treatment the basic characteristics of a tumour had crucial importance also: a locating (depth zaleganija), the true sizes, the form, character of growth (circumscribed formation or diffusive diffusion), a parity with various anatomic structures). These problems solved by results of complex ultrasonic and, as a rule, a tumour biopsy under the ultrasonic control. At a part of patients (n=28) applied additional methods of radial diagnostics (roentgenography, KT, MRT).

«The gold standard» a value of ultrasound diagnosis of tumours of soft tissues us had been chose the cytologic and histological conclusions of preparations of formations of the soft tissues, received after punktsionnyh, intraoperatsionnyh biopsies, and also after histological researches of postoperative preparations for an estimation of their zlokachestvennosti/high quality.

Consistently analyzed also results of ultrasonic in the course of complex research at each stage after application of various techniques. Wrote down the preliminary conclusions after research in In a regimen, then - in the V-mode in a combination to application dopplerografii, and at the final stage - at complex use of the V-mode, dopplerografii and elastografii. Ultrasonics with application elastografii spent to patients with tumours (n=121) and opuholepodobnymi formations (n=94) soft tissues.

Thus, calculation of diagnostic efficiency of ultrasonic techniques, has been spent 215 patients with formations of soft tissues.

5.1

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Scientific source VETSMADJAN Elena Anatolevna. ROLE of ULTRASONIC DIAGNOSTICS And ELASTOGRAFII In DEFINITION of TACTICS of SURGICAL TREATMENT of TUMOURS And OPUHOLEPODOBNYH FORMATIONS of SOFT TISSUES In OUT-PATIENT CONDITIONS. The dissertation on competition of a scientific degree of the candidate of medical sciences. St.-Petersburg - 2014. 2014

Other medical related information CHAPTER 5. EFFICIENCY OF ULTRASONIC TECHNIQUES IN DIAGNOSTICS AND PLANNING OF TREATMENT OF PATIENTS WITH TUMOURS AND OPUHOLEPODOBNYMI FORMATIONS OF SOFT TISSUES IN OUT-PATIENT CONDITIONS:

  1. THE TABLE OF CONTENTS
  2. INTRODUCTION
  3. CHAPTER 5. EFFICIENCY OF ULTRASONIC TECHNIQUES IN DIAGNOSTICS AND PLANNING OF TREATMENT OF PATIENTS WITH TUMOURS AND OPUHOLEPODOBNYMI FORMATIONS OF SOFT TISSUES IN OUT-PATIENT CONDITIONS