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Лучевые методы исследования в диагностике острого аппендицита (обзор литературы)

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Цель исследования: анализ литературы и сравнительная оценка данных об эффективности инструментальных радиологических методов диагностики у пациентов с подозрением на острый аппендицит (ОА).Материал и методы. Проведен поиск научных публикаций, клинических рекомендаций, отчетов съез­дов и научных конференций в информационно-аналитических системах PubMed, Google Scholar и ELibrary за 2013–2022 гг. по следующим ключевым словам: acute appendicitis, diagnosis of acute appendicitis, intestinal ultrasound, computed tomography in the diagnosis of acute appendicitis, CT and acute appendicitis, MRI for acute appendicitis, radiodiagnosis of appendicitis, radiodiagnosis of intestinal pathology, диагностика острого аппендицита, УЗИ, КТ, МРТ в диагностике острого аппендицита. Дополнительно проведен анализ списков литературы для обнаружения статей, соответствующих критериям поиска.Результаты. Были проанализированы 264 статьи, в том числе публикаций научных конференций и съездов, 50 из которых использованы для составления обзора. Из списков литературы дополнительно включено 9 статей за 2020–2022 гг. Результаты поиска – созданы блоки статей, внутри которых были проанализирован материал для изучения поставленных вопросов.Заключение. Каждый из лучевых методов в диагностике ОА имеет сильные и слабые стороны. Знания этих особенностей, а также оснащенность стационара могут определять выбор метода лучевой диагностики при подозрении на ОА. Анализ литературных данных, посвященных сравнению эффективности лучевых методов и очередности их применения, диктует необходимость продолжения проведения исследований в этом направлении. 

Ключевые слова:
диагностика аппендицита, лучевая диагностика аппендицита, ультразвуковое исследование, компьютерная томография, магнитно-резонансная томография, diagnosis of appendicitis, radiation diagnosis of appendicitis, ultrasound, computed tomography, magnetic resonance imaging

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Radiation methods in the diagnosis of acute appendicitis (literature review)

Aim. Analysis of the literature and comparative evaluation of data on the effectiveness of instrumental radiological diagnostic methods in patients with suspected OA.Material and methods. A search was made for scientific publications, clinical recommendations, reports of congresses and scientific conferences in the information and analytical systems PubMed, Google Scholar and ELibrary for 2013–2022. by the following keywords: acute appendicitis, diagnosis of acute appendicitis, intestinal ultrasound, computed tomography in the diagnosis of acute appendicitis, CT and acute appendicitis, MRI for acute appendicitis, radiodiagnosis of appendicitis, radiodiagnosis of intestinal pathology, diagnosis of acute appendicitis, ultrasound, CT, MRI in the diagnosis of acute appendicitis. In addition, the literature lists were analyzed to find articles that match the search criteria.Results. 264 articles were analyzed, including publications of scientific conferences and congresses, 50 of which were used to compile the review. From the lists of references, 9 articles for 2020–2022 were additionally included. Search results – blocks of articles were created, within which the material was analyzed to study the questions posed.Conclusion. Each of the radiological methods in the diagnosis of OA has strengths and weaknesses. Knowledge of these features, as well as the equipment of the hospital, can determine the choice of the method of radiation diagnostics in case of suspected OA. An analysis of the literature data on the comparison of the effectiveness of ray methods and the sequence of their application dictates the need to continue research in this direction.

Keywords:
диагностика аппендицита, лучевая диагностика аппендицита, ультразвуковое исследование, компьютерная томография, магнитно-резонансная томография, diagnosis of appendicitis, radiation diagnosis of appendicitis, ultrasound, computed tomography, magnetic resonance imaging