Functional diagnostics

doi: 10.25005/2074-0581-2017-19-3-382-386
POSSIBILITIES OF ULTRASOUND DIAGNOSTICS IN DETERMINING VARICOSE DISEASE OF SMALL PELVIS

N.N. Kurbonova1, D.D. Sultanov1, Z.Z. Umarova2

1Department of Surgical Diseases № 2, Avicenna Tajik State Medical University, Dushanbe, Tajikistan
2Diagnostic Center «Private Medical Center», Dushanbe, Tajikistan

Objective: To study the diagnostic capabilities of duplex scanning of veins of the small pelvis with their varicose dilatation.

Methods: A study performed on 142 patients (19-45 years old) who applied to the Republican Scientific Center for Cardiovascular Surgery and the «Private Medical Center». At the same time, varicose veins of the small pelvis detected in 89 patients

Results: Ultrasound examination with the complex application of both transabdominal and transvaginal sensors allowed to reduce the frequency of diagnostic errors as much as possible. The data coincided with recent posts research results, the authors of which have revealed the presence of pathological reflux with a diameter of veins less than 5 mm, while other authors imply the presence of varicose veins with a vein diameter of 5 mm or more. The linear velocity of blood flow against the background of pathological reflux was 9-18 cm/sec, an average of 12±3.6 cm/sec. A direct relationship established between the severity of the pain syndrome and the degree of vein dilatation.

Conclusions: The ultrasound angioscanning technique proved to be effective in screening patients for the diagnosis of pelvic vein diseases. The technique of transabdominal ultrasound examination is most justified in patients with the asthenic bodybuild and low degree of expressed subcutaneous fat fibre. The results of duplex scan allows determining the degree of varicose veins of the small pelvis and further treatment tactics.

Keywords: Varicose veins of the small pelvis, duplex scan.

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Authors informations:

Kurbonova Nassima Nuriddinovna, Postgraduate Student of the Department of Surgical Diseases № 2, Avicenna Tajik State Medical University

Sultanov Javli Davronovich, Doctor of Medical Sciences, Full Professor, Professor of the Department of Surgical Diseases № 2, Avicenna Tajik State Medical University

Umarova Zarina Zafarovna, Doctor of Ultrasound Diagnostics of the Diagnostic Center «Private Medical Center»

Address for correspondence:

Kurbonova Nassima Nuriddinovna

Postgraduate Student of the Department of Surgical Diseases № 2, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel .: (+992) 918 993090

E-mail: nasima.kurbonova@bk.ru

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