METHOD OF DIFFERENTIAL DIAGNOSTICS OF PARTIAL AND FULL ADHESIVE MECHANICAL SMALL BOWEL OBSTRUCTION AT CHILDREN BY MEANS OF ECHOGRAPHY Russian patent published in 2008 - IPC A61B8/00 A61B8/12 

FIELD: medicine.

SUBSTANCE: perform ultrasonic examination with polyitem scanning, a series of longitudinal and cross-section scans of an abdominal cavity, tap a symptom of the fixed intestinal loops (SFIL) - the conglomerates of intestinal loops fixed by viscero-visceral or visceroparietal commissures, and also in resulting department of a small bowel dilated more than on 30 % from age norm of a loop. Then carry out stimulation of an intestinal peristalsis by performance of 3-5 impulse pressings by the detector on a frontal abdominal wall in the place of location of an investigated site of examined department of a small intestine. At revealing in resulting department of intestine SFIL, and also more than 3 "pendulent" movements of the chyme not bound to a rhythm of breath, alternating with chyme progress, diagnose partial adherent mechanical enteric impassability. At revealing of SFIL and also progradience of "pendulent" chyme movements in a lumen of resulting department of an intestine, diagnose full mechanical adhesive obstruction. At children of the senior age group define the "pendulent" chyme movement against breath holding, and at children of younger age group or at negative behaviour of the child correlate sonographically defined character of movement of a chyme from it auscultatory characteristic. Absence of a radial load, painlessness, relative speed of research and noninvasiveness of a method allow using it repeatedly, also for dynamic echographic control for the purpose of definition of further medical tactics.

EFFECT: method allows carrying out differential diagnostics of partial and full adherent mechanical intestinal obstruction at children with high accuracy.

2 cl, 2 ex