Open AccessDETERMINATION OF THERAPEUTIC AND DIAGNOSTIC TACTICS IN PENETRATING SHOOTING AND PUNCH-CUTTING INJURIES OF THE CHEST USING SPIRAL COMPUTER TOMOGRAPHY
Author(s) -
V. V. Boyko,
P. M. Zamyatin,
S. O. Beresnev,
D. P. Zamyatin,
Yu. V. Bunin,
L. V. Provar,
В. В. Кріцак
Publication year - 2020
Publication title -
harkìvsʹka hìrurgìčna škola
Language(s) - English
Resource type - Journals
ISSN - 2308-7005
DOI - 10.37699/2308-7005.4.2020.09
Subject(s) - medicine , spiral computed tomography , computed tomography , spiral (railway) , conservative treatment , radiology , chest injury , surgery , blunt , engineering , mechanical engineering
Summary. The aim of the study was to improve the quality of diagnosis of chest injuries and to optimize surgical tactics through the use of spiral computed tomography.
Material and research methods. The work is based on prospective analysis of the results of spiral computed tomography of patients with chest injuries for the period from 2014 to 2020.
Results and its discussion. The results of SCT make it possible to objectify the choice of surgical tactics and the most rational type of access. The use of SCT has become expedient for chest injuries both before surgery in patients with stable hemodynamics and in the postoperative period to identify early complications.
Conclusions. Based on the study, it was concluded that the use of SCT in patients with chest wounds makes it possible to choose rational treatment tactics, optimal access for surgery and drainage area, as well as apply minimally invasive treatment methods. Conducting CT studies in dynamics allows us to assess the effectiveness of conservative and surgical treatment and promptly make adjustments to the treatment.