METHOD FOR PREDICTING INFLAMMATORY FORMS OF ACUTE APPENDICITIS Russian patent published in 2008 - IPC A61B8/00 A61B8/06 

FIELD: medicine.

SUBSTANCE: it is necessary to carry out ultrasound inspection of the organs of a patient's abdominal cavity and retroperitoneal space. Additionally, it is important to carry out chromatic Doppler and energetic mapping the circulation of visible department of vermiform process and surrounding organs and tissues. In case of circulation only in projection of process' mesentery and adjacent intestinal loops as single vascular branches one should detect the norm. At visualizing the vessels of not only the mesentery, but in the process itself, under condition that their visible quantity is larger than it surrounding intestinal loops and under condition of no signs of inflammatory process there one should detect catarrhal appendicitis. At detecting a considerable increase of vascular picture of visible parts of the wall of vermiform process and its mesentery, against circulation in adjacent intestinal loops, where it is represented by single vascular branches, under condition of good differentiation of the vessels of arterial and venous types, and at visualizing the process in transverse section as a chromatic "crown", and in longitudinal section the presence of chromatic stripes, the length being up to 1 cm, one should diagnose phlegmonous form of inflammation. At detecting considerable weakening, or the absence of vascular picture in areas of destruction, distinct registration, circulation in area of the process' mesentery, enhanced vascular picture of adjacent intestinal loops one should diagnose gangrenous inflammation. At no detection of circulation and registration of widened vascular branches in area of the process' mesentery one should diagnose empyema of appendix. At no detection of circulation in visible departments of the process, enhanced vascular picture in adjacent intestinal loops and in omentum it is possible to diagnose periappendicular abscess. The innovation increases information value of the diagnostics conducted.

EFFECT: higher accuracy of diagnostics.

26 dwg, 4 ex