METHOD OF ULTRASONIC DIAGNOSTICS OF ACUTE HEMATOGENOUS META-EPIPHYSEAL OSTEOMYELITIS IN INFANTS

摘要

FIELD: medicine.;SUBSTANCE: invention relates to field of medicine and can be used for diagnostics of hematogenous meta-epiphyseal osteomyelitis in children from birth to 6 months. Ultrasonic examination by means of longitudinal scanning of soft tissues, joint cavity, periosteum, cortical bone layer is carried out. Symptoms of edema of soft tissues, presence of: joint capsule thickening in comparison with symmetrical section of healthy joint, synovial fluid, increase of periosteum thickness in comparison with symmetrical section of healthy extremity, inhomogeneity of meta-epiphyseal zone are determined. Transverse scanning is performed and symptoms of meta-epiphyseal zone affection are determined. If the following symptoms are present: edema of soft tissues, joint capsule thickening in comparison with symmetrical section of healthy joint, synovial fluid, increase of periosteum thickness in comparison with symmetrical section of healthy extremity, iroughness of cortical layer, together with signs of change in meta-epiphyseal zone due to: either indistinctness, irregularity of meta-epiphyseal line, or combination of indistinctness, irregularity of meta-epiphyseal line with identification of inhomogeneity of metaphysis structure in form of presence of unecogenic inclusions, localised only in metaphysic, adjacent to growth zone, without crossing it, or in case of intermittence of meta-epiphyseal line with formation of from 0.6 to 6.0 mm defect is identified in combination with unechogenic inclusions in metaphysic and epiphysis, acute hematogenous meta-epiphyseal osteomyelitis is diagnosed.;EFFECT: method makes it possible to visualise early signs of meta-epiphyseal osteomyelitis in non-invasive way with possibility of determining pathological changes in joint, epiphyseal and metaphyseal parts of bone, metepiphyseal zone.;4 dwg, 1 ex