| Popis: |
Relevance and goals. Pancreatic cysts are a fairly common complication of acute pancreatitis. Despite the achievements of modern pancreatology in the treatment of pancreatic cysts, at present, therapeutic and diagnostic measures have certain difficulties and problems in their implementation. The aim of the study was to improve the results of diagno- sis and treatment of patients with pancreatic cysts. Materials and methods. The object of the study was 32 patients with pancreatic cysts who underwent ultrasound examination. In shear wave elastography mode, tissue stiffness was mapped from light blue in imma- ture areas to red in high density tissues. On the elastograms of the walls of pancreatic cysts, objective indicators of stiffness were obtained, expressed in values of Young's modulus (kPa). Results. According to the study, the stiffness indices of the unformed cyst wall were up to 8 ± 1.24 kPa, "immature" from 8 ± 1.24 kPa to 14 ± 1.54 kPa. Whereas, the density of the "mature" cyst wall was characterized by an increase in stiffness from 15 ± 2.3 kPa or more. Conclusion. The obtained data on the density of the pancreatic cyst wall will help to more accurately supplement the classification of cysts "ma- turity" degrees, determine indications for surgical treatment, and choose the optimal treatment tactics for patients with pancreatic cysts |
