РОЛЬ УЛЬТРАЗВУКОВОЙ ДОППЛЕРОГРАФИИ В ДИАГНОСТИКЕ РАКА ВЫХОДНОГО ОТДЕЛА ЖЕЛУДКА

R.Ya. Abdullaiev; I.V. Kryzhanovskaya; F.I. Kulikova; S.V. Abramov; A.G. Kirichenko; C.F. Agarkov; I.G. Bashta; E.V. Prigorneva

doi:10.34921/amj.2021.4.009

Authors

R.Ya. Abdullaiev Kharkiv Medical Academy of Postgraduate Education
I.V. Kryzhanovskaya Kharkiv Medical Academy of Postgraduate Education
F.I. Kulikova Dnipro Medical Institute of Traditional and Non-Traditional Medicine
S.V. Abramov Dnipro Medical Institute of Traditional and Non-Traditional Medicine
A.G. Kirichenko Dnipro Medical Institute of Traditional and Non-Traditional Medicine
C.F. Agarkov Dnipro Medical Institute of Traditional and Non-Traditional Medicine
I.G. Bashta Dnipro Medical Institute of Traditional and Non-Traditional Medicine
E.V. Prigorneva Dnipro Medical Institute of Traditional and Non-Traditional Medicine

DOI:

https://doi.org/10.34921/amj.2021.4.009

Keywords:

ultrasonography, dopplerography, antral gastric carcinoma

Abstract

The article shows the role of Doppler ultrasonography in the diagnosis of antrum gastric cancer and differential diagnosis with gastric ulcer of the same localization. Stomach cancer was established on the basis of histological examination of biopsy material in 47 patients, in 7 of them the tumor was at stage T2, in 29 at stage T3 and in 11 at stage T4. The results of ultrasound and MDCT were compared. With MDCT, gastric cancer at stage T2 was detected in 6 (85.7±13.2%), at stage T3 - in 27 (93.1±4.7%), and at stage T3 - in 10 (90.9±8,7%) patients, and with ultrasound - in 5 (71.4±17.1%), 26 (89.6±5.7%) and 9 (81.8±11.6%) patients, respectively. Pyloric stenosis was diagnosed in 29 patients - in 4 of them it was compensated, in 16 it was subcompensated, and in 9 it was decompensated. In 7 patients with decompensated pyloric stenosis, the lumen of the pyloric canal was visualized only with functional ultrasonography in energy Doppler mode. The systolic blood flow velocity in the gastroduodenal artery (Vgda) at the T2 stage of gastric cancer was 92±5 cm/s, with an ulcer - 63±6 cm/s (p<0.001), in healthy people 35±6 cm/s (p<0.001), in the celiac trunk (Vct) - 108±7 cm/s, 94±6 cm/s and 78±6 cm/s (p<0.01).