International Medical Journal, Vol. 24., Iss. 3, 2018, P. 29−32.
DIAGNOSIS OF BURN DEPTH WITH ELASTOGRAPHY
V. T. Zaitsev Institute of General and Urgent Surgery of NAMS of Ukraine, Kharkiv, Ukraine
The urgency of burns issue is determined by their frequency, complexity, duration, high cost and a significant number of unsatisfactory results of treatment of extensive deep burns. The most important issue of diagnosis is differentiation of superficial and deep burns, as they are fundamentally different in local and general manifestations and methods of treatment. Elastography and elastometry, the methods for qualitative and quantitative analysis of elastic properties of tissues are used with this purpose. To assess the possibility and reliability of elastometry in determining the depth of burn damage at the stages of early local and infusion−drug treatment of thermal trauma, compression elastography was performed in 37 patients with thermal burns using ultrasonic compression elastography and shear wave elastography. It was established that elastography allows assessing the state of the affected tissues and assess the dynamics of necrobiotic processes, promptly detect ischemia increase in the zones due to an increase in interstitial pressure in them and establish indications for performing drainage operations of necro− and fasciotomy for the purpose of decompression.
Key words: burns, diagnosis, depth of lesion, elastography.