EVALUATION OF THE EFFECTIVENESS OF MICROSCOPY OF SURGICAL MATERIAL PERFORMED BY CITO! IN PATIENTS WITH SUSPECTED ECHINOCOCCOSIS

T. V. Gavrilyuk, S. S. Кozlov, Yu. F. Zakharkiv, V. N. Mokrousov, A. V. Saulevich, Ibrahim Giramudinovich Abdulazizov, V. S. Turitsin
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Abstract

Currently, the relevance of echinococcosis is due to their wide prevalence in Russia. Cases of the disease are registered in more than 30 of the 88 administrative territories of the country. In establishing the final diagnosis of echinococcosis, the main importance is given to instrumental (ultrasound, CT, MRI) and serological methods (determination of specific antibodies based on ELISA). However, imaging methods in some cases do not allow to differentiate echinococcal cysts from other volumetric formations, and serological tests can give false negative results. Hydatidoses are characterized by a long course, and are often diagnosed late when complications develop. The surgical method is considered a radical method of treatment. Confirmation of the diagnosis is the results of pathomorphological examination of the surgical material. Of the 47 examined samples of operational material performed by cito! Protoscolexes of E. granulosus were found in 31 patients (65.7%). In two cases (4.3%), only single hooks of larvae of this parasite were found in the studied samples. In three patients (6.4%), the echinococcal nature of cysts was confirmed by delayed pathomorphological studies of the surgical material with the production of histological sections. In eleven patients (23.4%), the parasitic nature of the volume formations was excluded.
评价cito !显微检查手术材料的有效性疑似包虫病患者
目前,棘球蚴病的相关性是由于其在俄罗斯的广泛流行。在该国88个行政领土中,有30多个地区登记了该病病例。在确定棘球蚴病的最终诊断时,主要重视仪器(超声、CT、MRI)和血清学方法(基于ELISA测定特异性抗体)。然而,在某些情况下,成像方法不能区分棘球蚴囊肿与其他体积形成,血清学测试可能给出假阴性结果。包虫病的特点是病程长,通常在出现并发症时诊断较晚。手术方法被认为是根治性的治疗方法。诊断的确认是手术材料的病理形态学检查结果。在47个由cito!颗粒棘球蚴原头节31例(65.7%)。在2例(4.3%)的研究样本中,仅发现该寄生虫的单钩幼虫。在3例(6.4%)患者中,通过对手术材料进行延迟病理形态学研究并制作组织学切片,证实了包囊的棘球蚴性质。11例患者(23.4%)排除了体积形成的寄生性。
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