Assessment of the state of blood supply of thyroid residual according to doppler characteristics after surgery on the thyroid gland
DOI:
https://doi.org/10.11603/2414-4533.2021.1.12024Keywords:
ultrasound dopplerography, thyroid gland, thyroid residueAbstract
The aim of the work: to study the echostructure, state and features of vascular perfusion of the thyroid residue of the thyroid gland after surgery over time and to determine the clinical significance of the CDC and ED.
Materials and Methods. The thyroid balance was examined in 86 patients, after the performed organ-preserving thyroid surgeries on the 7th day, 1 month and 1 year after the surgeries using ultrasound device the Esaote MyLabX6 (Italy) and HDI 5000 (ATL USA) with a linear broadband L12-5MHz sensor. The size and structural changes in the tissue left were determined. The blood supply to the tissue and its membranes was studied by determining quantitative characteristics – resistance index (RІ), maximum systolic velocity (MSS), end diastolic velocity (EDS) and energy Doppler sonography (ED).
Results and Discussion. An increase in the volume of a lobe or stump is accompanied by a change in their type of structure, from flat (without a shape) areas they become sheet-like and conical, and the growth rate is a certain percentage of changes in the type of structure in 37 (43 %) patients on day 7 and already 66 (77 %) – after 1 year. The CDC indicates that the blood supply to the thyroid residue passes mainly along the periphery at the sites of newly created messages.
References
Aleksandrov, Yu.K., & Sergeyeva Ye.D. (2015). Peresmotr pokazaniy dlya biopsii uzlov shchitovidnoy zhelezy [Revision of indications for biopsy of thyroid nodules]. Vesnik khirurgii im. I.I. Grekova – Grekov’s Bulletin of Surgery, 1, 23-25 [in Russian].
Delorm, S. (2016). Rukovodstvo po ultrazvukovoy diagnostike [Ultrasound Diagnostic Guide]. Moscow: Medpres-inform [in Russian].
Dohra, V., & Rubens, D.D. (2005). Sekretу ultrazvukovoy diagnostiki [Secrets of ultrasound diagnostic]. Moscow: Medpres-inform [in Russian].
Dzhek Beskin-st., Deniyels, S, Byuik, & Robert, E. (2008). Ultrazvukovoye issledovaniye shchitovidnoy zhelezy [Thyroid ultrasound]. Vnushko, V.E., Artemova, A.M., Belousova, P.V. (Eds.). Moscow: GEOTAR-Media [in Russian].
Kalinin, A.P., & Pavlov, A.V. (2010). Metody vizualizatsii okoloshchitovidnykh zhelez i paratireoidnaya khirurgiya [Methods for imaging the parathyroid glands and parathyroid surgery]. Moscow: Vidar [in Russian].
Karas, A.S., & Obrezanm, A.G. (2009). Shchitovidnaya zheleza i serdtse [Thyroid gland and heart]. Klinicheskaya i eksperimentalnaya tireoidologiya – Clinical and Experimental Thyroidology, 5, 37-42 [in Russian].
Kulikov, V.P. (2015). Osnovy ultrazvukovogo issledovaniya sosudov [Fundamentals of vascular ultrasound examination]. Moscow: Vidar [in Russian].
Kulikov, V.P., & Doronina, N.L. (2007). Ultrazvukovaya diagnostika sosudistykh zabolevaniy Rukovodstvo dlya vrachey [Ultrasound diagnostics of vascular diseases. A guide for doctors]. Moscow: Strom [in Russian].
Lelyuk, V.G., & Lelyuk, S.E. (2007). Ultrazvtskovaya angiologiya. Prakticheskoye posobiye. 3-ye izdaniye [Ultrasound angiology. A practical guide 3rd edition]. Moscow: Realnoye vremya [in Russian].
Sencha, A.N. (2015). Ultrazvukovoye issledovaniye. Poverkhnostno raspolozhennyye organy [Ultrasound procedure. Superficial organs]. Moscow: Vidar [in Russian].
Sencha, A.N. (2019). Ultrazvukovoye issledovaniye shchitovidnoy zhelezy. Shag za shagom ot prostogo k slozhnomu [Ultrasound examination of the thyroid gland. Step by step from simple to complex]. Moscow: Medpres-inform [in Russian].
Sencha, Ye.A., Sencha, A.N., & Penyayeva, E.I. (2018). Primeneniye kolichestvennogo analiza ultrazvukovogo issledovaniya s kontrasnym usileniyem v differentsialnoy diagnostike ochagovykh izmeneniy shchitovidnoy zhelezy [Using of quantitative analysis of ultrasound with contrast enhancement in the differential diagnosis of focal changes in the thyroid gland]. Ultrazvukovaya i funktsionalnaya diagnostika – Ultrasound and Functional Diagnostic, 2,12-26 [in Russian].
Trufanov, G.Ye. (2016). Ultrazvukovaya diagnostika opukholey myagkikh tkaney [Ultrasound diagnostics of soft tissue tumors]. Saint-Petersburg: Elbi [in Russian].
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