Novosti
Khirurgii
This journal is
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Year 2011 Vol. 19 No 5

GENERAL AND SPECIAL SURGERY

P.N. MYSHENTSEV, B.N. ZHUKOV, S.E. KATORKIN, G.V. YAROVENKO

ROLE OF COMPUTER TOMOGRAPHY IN ESTIMATION OF LYMPHEDEMA STAGE OF THE LOWER EXTREMITIES

Objectives. Elaboration of the lymphedema stage on the basis of comparative analysis of different characteristics of computer-aided tomography of the limbs.
Methods. 44 patients with lymphedema of the lower limbs with primary and secondary etiology were examined. All examinations were performed on the multi-slice CT scanner “Aquilion”, the firm “Toshiba”. Skin thickness, subcutaneous fat size, thickness of subcutaneous fat on 6 levels of extremity were determined. Fibrous changes in subcutaneous fat were estimated by localization, degree, form and abundance.
Results. With rising of the disease severity the tendency towards the increase of skin and subcutaneous fat thickness of limbs is noted in patients; all this is clearly registered on CT scanner. The appearance, spreading and growing of fibrous reorganization of tissues are in direct proportional relationship to the clinic stage of lymphedema. A quantitative determination of the compaction degree of limb tissue is of particular importance.
Conclusions. Application of CT scanner with estimation of qualitative and quantitative characteristics of tissue, especially thickness of subcutaneous fat, permits to determine the stage of the disease of each patient with high reliability.

Keywords: lymphedema of lower limbs, diagnostics, computer tomography
p. 74 – 77 of the original issue
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