Possibilities of Multispiral computed Tomography in the Diagnosis of Occlusive Diseases of the Biliary Tract
https://doi.org/10.29413/ABS.2018-3.6.18
Abstract
The main place in the diagnosis of obstructive jaundice belongs to radiation research methods. Their choice is determined by the nature of the disease, efficacy, safety and cost of the study. The article describes the computer-tomographic symptoms of malignant and benign diseases of the hepatopancreatoduodenal region.
To study the possibilities of multispiral computed tomography in the diagnosis of diseases, the results of examination of 62 patients with manifestations of mechanical jaundice syndrome were analyzed on the basis of the surgical Department of the Irkutsk city clinical hospital N 1. The mean age of the examined patients was 56 ± 4.5 years. In the ratio of 2:1.4 women dominated. Biliary obstruction of benign genesis prevailed, which was found in 44 (61.1 %) patients, among which the most common cause was: choledocholithiasis (34 (54.8 %) patients), choledoch strictures (9 (12.5 %) patients) periampular diverticula (2 (1.9 %) patients). The reason for the obstruction of malignant genesis (18 (38.9 %) patients) were: adenocarcinomas of the head of the pancreas (11 (29.0 %) patients), bile duct tumor (5 (8.0 %) patients), volume formations of the duodenum (2 (3.2 %) patients).
About the Authors
V. A. Malakhanov
Irkutsk Scientific Centre of Surgery and Traumatology;
Irkutsk City Clinical Hospital N 1
Russian Federation
Russian Federation
Vladlen A. Malakhanov – Research Officer at the Laboratory of Radiology of the Clinical Research Department of Neurosurgery, Irkutsk Scientific Centre of Surgery and Traumatology; Radiologist at the Department of Radiology, Irkutsk Regional Clinical Hospital N 1
664046 Irkutsk, ul. Baikalskaya, 118
P. V. Seliverstov
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Pavel V. Seliverstov – Dr. Sc. (Med.), Head of the Laboratory of Radiology of the Clinical Research Department of Neurosurgery
664003, Irkutsk, ul. Bortsov Revolyutsii, 1
Yu. V. Shevchenko
Irkutsk City Clinical Hospital N 1
Russian Federation
Russian Federation
Yuliya V. Schevchenko – Cand. Sc. (Med.), Radiologist at the Department of Radiology
664046 Irkutsk, ul. Baikalskaya, 118
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Review
For citations:
Malakhanov V.A., Seliverstov P.V., Shevchenko Yu.V. Possibilities of Multispiral computed Tomography in the Diagnosis of Occlusive Diseases of the Biliary Tract. Acta Biomedica Scientifica. 2018;3(6):126-129. (In Russ.) https://doi.org/10.29413/ABS.2018-3.6.18
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