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The echography role in diagnosis and therapeutic algorithm of traumatic parenchimatous acute and hepato-pancreat-biliar nontraumatic pathology


Author: Vasile Ţurcanu
Degree:doctor of medicine
Speciality: 14.00.19 - Medical Imagistics
Year:2005
Scientific consultant: Andrei Testemiţanu
doctor
Institution:
Scientific council:

Status

The thesis was presented on the 7 October, 2005
Approved by NCAA on the 22 December, 2005

Abstract

Adobe PDF document – 0.54 Mb / in romanian

Keywords

: echography, emergency surgery, imagistic, acute hepato-pancreat-biliary pathologies,acute cholecystitis, acute pancreatitis, mechanic jandice, postoperatory complications, tumors

Summary

In the urgent surgery of present practice the diagnosis of acute pathologies from HPBZ are frequent. This paper includes the echography role in the improvement of diagnosis and treatment and it’s position in diagnosis complex of the paraclinical investigations of acute pathologies from HPBZ. There were included in the study and echografically examined 500 pacients with acute affections from HPBZ and postoperatory complications from the same one. Thise pacients were included in 4 groups: 1st – acute cholecystitis; 2nd – mechanic jandice; 3rd – acute pancreatitis; 4th – complications of acute and postoperatory affections of organs from HPBZ. In the study the role of echography in the diagnosis and treatment algorithm of the studied affections have been demonstrated. The echography results are enough suffcient (80 – 98%) in the surgical intervention or on it’s postponement have been detemined. At the same time using of another modern methods (RMN, CT, radiologic diagnosis with artificial inderect contrast and laparoscopy), wich are toxic and expensiv can be used only in the nonconcludent echography results (methorism, affections in the distal region of canal and of the initial stagies of acute pancreatitis). The echography combination with these methods represent 100% diagnosis establishment. The study encludes many conclusions with the practic value, wich can be used in the surgical clinics in the purpose of the diagnosis and treatment improvement of the pacients with the urgent abdominal affections.