inovmedИнновационная медицина КубаниInnovative Medicine of Kuban2541-9897Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 110.35401/2500-0268-2020-19-3-68-76inovmed-297Research ArticleОБЗОРЫREVIEWSК вопросу о роли лучевых методов исследования в диагностике синдрома механической желтухи в условиях приемного отделенияValue of radiology techniques for diagnosis of obstructive jaundice in admission departmenthttps://orcid.org/0000-0003-1508-203XКатричА. Н.KatrichA. N.

Катрич Алексей Николаевич, к. м. н., заведующий отделением ультразвуковой диагностики; ассистент кафедры хирургии № 1

350086, Краснодар, ул. 1 Мая, 167

Aleksey N. Katrich, Cand. of Sci. (Med.), Head of the Ultrasound Diagnostics Department; Assistant Professor, Surgery Department

ul. 1 Maya, 167, Krasnodar, 350086

katrich-a1@yandex.ruhttps://orcid.org/0000-0002-6291-9026ПольшиковС. В.PolshikovS. V.

Польшиков Сергей Владимирович, врач ультразвуковой диагностики, отделение ультразвуковой диагностики

Краснодар

Sergey V. Polshikov, Ultrasonic Medical Investigation Specialist, Ultrasound Diagnostics Department

Krasnodar

https://orcid.org/0000-0001-9821-6915КурильскаяА. М.KurilskayaA. M.

Курильская Анна Михайловна, врач ультразвуковой диагностики, отделение ультразвуковой диагностики

Краснодар

Anna M. Kurilskaya, Ultrasonic Medical Investigation Specialist, Ultrasound Diagnostics Department 

Krasnodar

Научно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского Министерства здравоохранения Краснодарского края; Кубанский государственный медицинский университет Министерства здравоохранения РФРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1; Kuban State Medical UniversityRussian FederationНаучно-исследовательский институт – Краевая клиническая больница № 1 им. проф. С.В. Очаповского Министерства здравоохранения Краснодарского краяРоссияScientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1Russian Federation202030092020036876Copyright © Катрич А.Н., Польшиков С.В., Курильская А.М., 20202020Катрич А.Н., Польшиков С.В., Курильская А.М.Katrich A.N., Polshikov S.V., Kurilskaya A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.innovmedkub.ru/jour/article/view/297

Механическая желтуха – это синдром, который включает разнообразные заболевания, характеризующиеся непроходимостью желчевыводящих протоков, что приводит к тяжелым нарушениям функции печени и других органов и систем. Раннее выявление причин и характера гипербилирубинемии представляет первостепенную задачу в тактике ведения пациента, что позволяет избежать развития тяжелых осложнений и летальных исходов. Основную роль в дифференциальной диагностике при этом синдроме играют лучевые методы исследования. Знание возможностей этих методов и их рациональное применение позволяет выбрать оптимальное лечение и в конечном итоге определить исход болезни. Целесообразность и последовательность использования методов инструментальной диагностики при синдроме механической желтухи описаны в этой статье.

Obstructive jaundice may be caused by many different diseases associated with bile duct obstruction leading to severely impaired liver function as well as injuries of other organs and systems. Early identification of the causes and nature of hyperbilirubinemia is of paramount importance in patient management and decreases the incidence of serious complications and fatalities. Radiology techniques are extremely helpful for the differential diagnosis of obstructive jaundice. High awareness of these methods’ possibilities and their rational use allow one to choose the most appropriate treatment strategy and determine disease outcome. The study describes the feasibility and proper order of various diagnostic methods employed to examine patients with suspected obstructive jaundice.

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The authors declare that there are no conflicts of interest present.