[Use of three-dimensional ultrasound visualization in differential diagnosis of pancreatic head diseases].

Retrospective analysis of 3D-reconstruction of ultrasound images is discussed with reference to the diagnosis of pancreatic disorders, such as pseudotumorous pancreatitis and pancreatic head neoplasm, based on the data extracted from case records collected in the Central Clinical Hospital No 1, OJSC RZhD, for the period of 2004-2008. In addition, comparative analysis is presented of different beam diagnostics methods for the examination of hepatobiliary system (classical ultrasound, 3D-reconstruction of ultrasound images, CT, endoscopic techniques, e.g. retrograde cholangiopancreatography). Control group comprised 20 patients without signs of gastrointestinal pathology, group 2 included 24 patients with pseudotumorous pancreatitis, group 3 54 patients with pancreatic head neoplasm (up to 3 cm). It was shown that 3D-images facilitate detection of pathologic processes in the pancreas. Minimal slice thickness permits to visualize small objects, segmentation of irregularly shaped tumorous foci and their volume. This method gives better idea of the relationship between the tumour and other tissues and vessels than other diagnostic tools and thereby makes easier the choice of treatment strategy and prognosis of its outcome. Also, it improves the quality of information about arterial and venous circulation and permits to differentiate between benign and malignant tumours.

[The use of moexipril in postmenopausal women with hypertension and associated changes of bone mineral density].

Moexipril was given to 35 postmenopausal women with mild and moderate hypertension, menopausal syndrome and decreased bone mineral density. Blood pressure (BP) was measured before and in 1, 3, 6, and 12 months, while ultrasonic bone densitometry was carried out before and in 12 months of moexipril use. Significant lowering of systolic and diastolic BP, reduction of severity of climacteric syndrome occurred after 1, 3 and 6 months of moexipril use, respectively. After 12 months parameters of bone densitometry in moexipril treated women became better than in control group (p<0.01). Treatment was also associated with significant improvement of quality of life, diminished reactive anxiety and depression.

[Experimental-morphological and clinical results of laser destruction of adenohypophysis]. / Eksperimental'no-morfologicheskie i klinicheskie rezul'taty lazernoi destruktsii adenogipofiza.

Feasibility of focal adenohypophysis destruction by Nd:YAG laser is experimentally proven. The destruction is not followed by considerable damage of other structures of the hypothalamus-hypophysis region. It is established that the focus of coagulation necrosis produced by laser radiation is replaced by scar tissue. A surgical treatment of hypophysis adenoma surgical treatment is proposed. Its effectiveness, safety and low traumatism were confirmed at its clinical trial.