| About the author: |
I. M. Shevchuk, O. V. Novitsky, A. L. Shapoval, I. Ya. Sadovyi, A. S. Sverstyuk, S. S. Snizhko |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
The results of surgical treatment of 134 patients with ischiorectal and pelviorectal acute paraproctitis were analyzed. Among them 81 (60.4 %) were men, 53 (39.6 %) were women aged 19 to 78 years. Ischiorectal acute paraproctitis was diagnosed in 71 (52.9 %), retrorectal – in 21 (15.8 %), pelviorectal – in 17 (12.7 %), horseshoe – in 16 (11.9 %), panparaproctitis (pelvic phlegmon) – in 9 (6.7 %) patients. The use of ultrasound and magnetic resonance imaging for the diagnosis of acute paraproctitis was analyzed in 67 (50.0 %) patients. Establishing the location of the abscess in the pararectal cell spaces, visualization of the primary purulent course and the affected crypt, permitted performing primary radical surgery in 79.1 % (53/67) of patients in the main group. In the comparison group, primary radical surgery was performed in 48 % (32/67) of patients. According to the Bayesian formula, the probability of complications during non-radical surgery in the main group of patients was 0.31, and in the comparison group ‒ 0.43. The probability of no complications during non-radical surgery in the main group of patients was 0.69, and in the comparison group ‒ 0.57, which confirmed the efficacy of ultrasound and magnetic resonance imaging in the diagnosis and treatment of patients with acute paraproctitis in the main group, relative to the comparison group. |
| Tags |
acute paraproctitis, ultrasound examination, magnetic resonance imaging, surgical treatment, Bayesian formula |
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| Publication of the article |
«World of Medicine and Biology» №2(80), 2022 year, 183-188 pages, index UDK 616-073+616-073.763.5+616-089+616.352-007.253 |
| DOI |
10.26724/2079-8334-2022-2-80-183-188 |
