No 3 (2018)
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ORIGINAL RESEARCH
6-16 311
Abstract
Among congenital anomalies, cleft lip, alveolar process and palate are most common. Alveoloplasty is an osteoplastic operation necessary in the treatment and rehabilitation of patients with congenital cleft of the upper lip, palate and alveolar process. Objective: to determine the correlation between the thickness of the regenerate obtained after alveoloplasty and the classification categories of Bergland and Chelsea. Study design. We evaluated cone-beam tomograms of 75 patients who underwent alveoloplasty of congenital clefts of the alveolar process. The degree of consolidation of the transplant was assessed on the Chelsea and Bergland scales. Correlations between the thickness of the regenerate and the categories on the Bergland and Chelsea scales was evaluated using multiple linear regression. Results the Pearson's coefficient for the Chelsea scale was R = 0,409 (p < 0,0001), for the Bergland scale, R = 0,423 (p < 0,0001). The coefficient of determination for the Chelsea scale was R2 = 0,167 (p < 0,0001), for the Bergland scale, R2 = 0,179 (p < 0,0001). The coefficients correspond to weak correlation and weak prognostic ability between the thickness of the obtained regenerate and the categories on the Chelsea and Bergland scales.
17-24 321
Abstract
A dual-energy multislice computed tomography (MSCT) was performed in 30 patients with urate urolythiasis (70 % - male, 30 % - female). In the analysis of urate stones, half of the patients showed features in the form of a heterogeneous structure: a urate band (up to 1000 NU) and a denser (oxalate) core (more than 1000 HU) - presumably these are stones with a mixed structure. The average density of stones measured in this group was 753 ± 439,3 HU. Out of 30 patients 8 underwent chemical analysis of the stones by IR spectrometry and X-ray phase analysis. In most cases, the result was positive, confirming the urate structure of the stones, obtained by the dual-energy MSCT method. Dual-energy computed tomography is effective in assuming the composition of the stones in the urinary system.
25-34 423
Abstract
Foreign bodies (FB) into the soft tissues of maxillofacial region is a common pathology with which patients turn to the dentists, surgeons and radiologists. This condition account for 3,8 % of all diseases in this region. Nowadays this frequency has increased due to the development of cosmetology. 17,1 million procedures were performed in 2016 according to the American Society of Plastic Surgeons. The definition of the nature of FB is an important aspect because it affects to the tactics of the treatment and planning of surgical intervention. There’s only a few works, devoted to the study of ultrasonography (US) of FB and their echo signs didn’t improve properly despite the obvious relevance and the risk of complications. 45 patients aged 18 to 45 years with suspicion of the presence of FB were examined. The study was performed on the iU-22 (Philips, the Netherlands) using linear sensors with a scanning frequency of 7-15 and 5-17 MHz, in the B-mode, and in the color Doppler mode. The revealed FB could be divided into 3 groups: organic (the blade of grass, the rose spike, the husk of a sunflower seed, the helminth), non-organic origin (the metal dental screws, the drainage and intubation tubes, the glass fragment and the piece of plastic) and cosmetic fillers (biodegradable and non-biodegradable) after facial contouring. All FB were clearly visualized and have had their own echo signs, analyzing which helps to assume the nature of the object most accurately. Thus, high-resolution US allows to visualize FB, located into the soft tissues of maxillofacial region, to predict the nature of it, to determine the localization, the depth of occurrence, the relationship with surrounding structures. Also, US is the informative method at the stage of operation planning for the removal of FB.
CONTINUING MEDICAL EDUCATION
35-50 321
Abstract
Acute postrenal renal damage in children is rare and little known to practitioners. Our research includes 12 observations in children from 7 days to 12 years. 10 of 12 patients were with sus-pected hemolytic-uremic syndrome, and 2 babies with regurgitation syndrome. 7 patients had hypazotemia, and 5 experienced moderate increase in azotemia. The cause of the postrenal acute renal damage (ARD) in most children (10/12) was acute dismetabolic disorders against intoxication, hypovolemia, hyperthermia with obstruction of the urinary tract at the distal ureter level (8/12) or pelvioureteral articulation (2/12). In 1 case in 3-month-old baby ARD developed against nephrocandidosis, obstruction of the collecting system of kidneys by fungal masses. An-other patient a 7-day-old girl developed ARD against infravesical obstruction with presacral cystic involvement (Currarino syndrome). In all cases ultrasound helped to diagnose the cause of ARD. Echographically the majority of patients (9/12) had a moderate increase in kidney size, an echogenicity increase of the unexhausted parenchyma, a moderate calices-pelvis system di-latation, and a presence of echodense inclusions in the urinary tract. A Doppler ultrasound test of renal blood flow showed that relative safety of the intracranial vascular pattern, a moderate increase in the resistive characteristics of arterial renal blood flow and an increase in the rate of venous outflow were typical. We could rapidly provide adequate urine outflow (with a urethral catheter, ureter stenting, nephrostomy) and it allowed to normalize azotemia and to restore diu-resis within 1-1,5 days in all cases. 2 children needed short-term renal replacement. All the children recovered.
51-60 365
Abstract
Hip joint plays an important role in performing of various ballet movements and the amplitude of movements in him is much higher than in people of other professions, which affects his physiological state. Dancers often complain of pain in the hip joint, medical imaging are used in the diagnosis of the causes of which. The role of high-tech methods of medical imaging, including magnetic resonance imaging and computed tomography, is becoming more significant in the diagnosis of hip joint pathology in ballet dancers, while standard radiography remains the first-line technique. This review highlights the most common pathological conditions of hip joints among the ballet dancers.
SСIENTIFIC INFORMATION, CHRONICLE, ADS
V. V. Petrovskaya,
E. G. Privalova,
M. O. Dutova,
O. M. Alekseeva,
M. A. Batova,
M. S. Starodubtseva,
A. A. Shishimorov
61-69 270
Abstract
Nowadays most experts who follow the modern global medical community trends are aware of the English language knowledge necessity at a basic level at least. The lack of the unified terminology, the multiple items of the same concepts, lots of obsolete terms, incorrect spelling, pronunciation of eponyms especially - all these things are the problem of Russian medical language as well. These factors combination was account the basis for the publications series creation entitled «English Terms Glossary» for the «Radiology - practice» journal, which will be published in subsequent issues.
ISSN 2713-0118 (Online)