УЛЬТРАСОНОГРАФИЯ ПРИ ВОСПАЛИТЕЛЬНЫХ ЗАБОЛЕВАНИЯХ ВЕРХНЕЧЕЛЮСТНЫХ ПАЗУХ

Аннотация

Subject of the inquiry: 120 patients with inflammatory diseases of the maxillary sinuses (177 affected sinuses). Aim of the inquiry: improve the diagnosis of inflammatory diseases of maxillary sinus diseases using B-modc ultrasonography Methods of research: Ultrasonogrpahy, X-ray, magnetic resonance imaging. The results achieved and their novelty: Based on the results of investigation of 120 patients with inflammatory diseases of the maxillary sinuses (177 affected sinuses) the following was found: in acute sinusitis (irrespective of the form) ultrasonography had quite low specificity - 50.0+6.7%. However the sensitivity of the method in catarrhal and purulent forms of acute sinusitis came to 75.0+11.6% and 93.0+3.9% respectively. In all the forms of chronic sinusitis the parameters indicated good informativeness of B-modc ultrasonography: hyperplastic - sensitivity 82.0+5.2%, specificity 95.0+3.0%; purulent - sensitivity 88.0+6.8%, specificity 79.0+8.5%; cysts and polyps - sensitivity 87.0+5.0%, specificity 93.0+3.8%. The research demonstrated possibilities of ultrasonography in the diagnosis of inflammatory diseases of the maxillary sinuses. Diagnostic value of B-modc ultrasonograhy was shown in different forms of maxillary sinusitis. Practically convenient interpretation technique of maxillary sonograms and protocol of examination were developed. Sonographic criteria were defined for differential diagnosis of different inflammatory diseases of the maxillary sinuses as well as the role of B-modc ultrasonography in the algorhithm of radiological investigation of the maxillary sinuses. Practical value: improvement of maxillary sinusitis, decrease of patient’s exposure to radiation (unjustified use of X-ray in the absence of pathology), avoiding of invasive methods (diagnostic puncture in case of mucosal hyperplasia of cysts) Degree of inculcate: The results of the investigation were introduced in the Otorhynolaryngology and Radiology departments of the 1-st Tashkent Medical Institute Sphere of usage: radiology, otorhynolaryngology.