[EFFICIENCY OF RADIOLOGICAL METHODS FOR DIAGNOSING THE ARTERIES OF THE FEMORO-POPKLITE-TIBAL SEGMENT]

Objective - to determine the effectiveness of modern methods of radiological diagnostics for improving the results of treatment of patients with distal occlusive-stenotic diseases of the femoral-popliteal-tibial segment of atherosclerotic genesis. The analysis of examinations and treatment of 150 patients with distal atherosclerosis, who were in the Department of Vascular Surgery of the Regional Clinical Hospita A. Novaka. On ultrasound examination of the arteries of the femoral-popliteal-tibial segment, false negative and false positive results were observed in 11 and 3 patients, respectively. On duplex scanning, a false negative was observed in 5 patients, a false positive in two patients. On X-ray contrast angiography, respectively, in 14 and 5 patients, with MDCT - in 3 and 2 patients. To study of the deep femoral artery, the largest number of false positive and false negative results were observed during ultrasound examination of 12 and 5 patients and X-ray contrast angiography in 18 and 12 patients, respectively. Have compared the radiological methods for diagnosing the arteries of the femoral-popliteal-tibial segment and the deep femoral artery, the most effective were MDCT (89.1% and 90%, respectively) and ultrasound duplex scanning (88.7% 82%, respectively). The predictability of the research method for diagnosing the arteries of the femoral-popliteal-tibial segment for ultrasound was 97.7%, for ultrasound - 97.1%, for RCAH - 91.1%, for MSCT - 98% with an accuracy of 90.7%, 95 , 3%, 78.2%, 95.5%. For the deep femoral artery, the predictability of ultrasound was 95.9%, ultrasound - 96.9%, RCAH - 58.6%, MSCT - 99% with an accuracy of 88.7%, 93.3%, 66.5%, 97.3%, respectively.