УЛЬТРАЗВУКОВАЯ ДИАГНОСТИКА ПРИ ФОРМИРОВАНИИ ПИЩЕВОДНОПЛЕВРОКОЖНЫХ ФИСТУЛ

Abstract

The aim of the study was to study the effectiveness of ultrasound diagnostics in the adhesion of pleural leaves in the formation of esophagopleurocutaneous fistulas. Material and methods. The data on treatment of 19 patients (9 - main group, 10 - control group) who were treated with esophageal perforation in the department of thoracic surgery of Brest Regional Clinical Hospital using diagnostic ultrasound were analyzed. Results. The technique of performing ultrasound examination was determined. The “zone of interest” was visualized in the B-mode with the definition of a hyperechoic line and drainage nearby. The displacement of the visceral pleura together with the lung tissue relative to the parietal pleura indicated the presence of pleural adhesions. Simultaneously detected sign "barcode" in the M-mode was a sign of pleural adhesion, which was maintained constantly during chest excursion. This method was used to determine the prevalence of the area of adhesions, and subsequently the issue of traction or removal of drainage in postoperative patients during the formation of a fistula was resolved. Conclusions. Ultrasound diagnostics in the formation of esophageal pleural fistula in patients with esophageal damage contributes to the detection of early complications, timely removal of drains and reduction of hospitalization time.