The Possibilities of Complex Echography in the Diagnosis of Acute Appendicitis in Children

Abstract

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Acute appendicitis (OA) is currently the most common urgent disease of the abdominal cavity and occurs in 2-5 people per 1,000 populations. In the Republic of Uzbekistan, this indicator is 3.05 people per 1,000 populations according to the statistical materials on the activities of healthcare institutions of the Republic of Uzbekistan. Children with acute appendicitis were admitted to the hospital with complaints lasting up to 12 hours - 110 (46.6%), from 12 to 24 hours - 49 (20.8%), from 24 to 48 hours - 43 (18.2%) and from 48 hours or more - 34 (14.4%) children. In children with a disease duration of more than a day, only destructive forms of inflammation of the vermiform process were recorded. After 24 hours from the onset of clinical manifestations, children with phlegmonous and gangrenous appendicitis were admitted. Various variants of the location of the cecum and the vermiform process made it necessary to thoroughly examine the entire abdominal cavity. In 15 children, the diagnosis of OA was excluded due to the presence of other acute abdominal diseases. Thus, ovarian apoplexy was observed in 3 girls, pelvic pain syndrome caused by various gynecological diseases in 5 girls, acute pancreatitis with diffuse pains in 2, an attack of renal colic on the right in 5 children. Thus, the study of the features of the course of various clinical forms of acute appendicitis in children allowed to increase the effectiveness of diagnosis and improve the results of treatment. Ultrasound examination is a promising and safe method of diagnosing acute appendicitis, which allows to bring the effectiveness of complex diagnostics to 100% and is of important importance when choosing treatment tactics.