COMPUTER-TOMOGRAPHIC SEMIOLOGY OF CHRONIC RECURRENT HEMATOGENOUS OSTEOMYELITIS

• Main Authors: А. М. Shamsiev, S. S. Zayniev
• Format: Article
• Language: Ukrainian
• Published: Ukrmedknyha Publishing House 2018-01-01
• Series: Vіsnik Naukovih Doslіdžen'
• Subjects: остеомієліт; комп’ютерна томографія; хірургічне лікування.
• Online Access: https://ojs.tdmu.edu.ua/index.php/visnyk-nauk-dos/article/view/8361

The problem of chronic recurrent hematogenous osteomyelitis is still an urgent problem. This applies not only to the problem of diagnosis of the disease, the recognition of complications, the interpretation of the clinical picture, but also the methods of treatment. The aim of the study – to estimate the effectiveness of using computer tomography in the complex examination of patients with such pathology. We examined 60 patients with chronic recurrent hematogenic osteomyelitis aged from 7 to 22 years old, whо were in the hospital No. 2 of Samarkand State Medical Institute during 2006–2016. Results and Discussion. Computer tomography as opposed to plan radiography allowed us more precisely determine the real sizes of destructive process in the injured bone. In all cases computer tomography has exceeded plan radiography to determination of small sequesters, supporting chronic inflammation and promoting hard recurrent course of the disease. Conclusions. Computer tomography provides the highest accuracy of detection of purulent-necrotic changes in the affected bones and increases the role of radial methods of diagnostics in developing a set of treatment measures, including the scope and tactics of surgical intervention in chronic recurrent hematogenous osteomyelitis.