An algorithm of diagnostic-therapeutic invasive sonography

The present study describes an algorithm of diagnostic-therapeutic invasive sonography that was used in 276 patients. 276 manipulations using ultrasound guidance were performed on 371 objects. These include therapeutic punctures (evacuations and drug applications), percutaneous nephrostomies and dilatational minilaparatomy with drainage system. We achieved complete therapeutic success in 77.5%, partial therapeutic success in 14.1% and failures only in 8.4%. These satisfactory results indicate that the developed algorithm makes possible the individual approach to the patient, allows correct choice of technique, method, and strategy; it helps to achieve the therapeutic target as well to include a diagnostic element at a certain stage of the therapeutic process.