Method for diagnosing rectum functioning disorder cases

FIELD: medicine.

SUBSTANCE: method involves marking two points mapping distal coccyx and symphysis part positions. Ruler is applied to the points over the imaginary coccygeosymphyseal line between the points on skin. 10 cm long metal rod of 1.9 mm diameter having ticks from 1cm to 3 cm is introduced into anal canal. Anococcygeal angle is measured between the ruler and the metal rod. One angle side is segment binding a point belonging to distal coccyx part projection to anal canal axis and the other side is the continuation of this axis above anodermal surface. The coccygeal angle magnitude being greater than 90°, rectum obturation apparatus disorder is to be diagnosed.

EFFECT: high accuracy of early stage diagnosis.

1 dwg

 

The invention relates to surgery, namely of Coloproctology.

The external and internal sphincter, pubic-pryamokishechnye muscle carry out the function of the anal and holding are locking apparatus of the rectum. Pubo-rectal muscle covers the rectum in the form of a sling, forms the anorectal angle, participating thereby in keeping the intestinal contents. Methods of diagnostics of diseases, work-related puborectalis muscles, complex, expensive and can be done in the hospital x-ray machines. Therefore urgent to develop minimally invasive outpatient inexpensive ways to diagnose operation of the rectum.

As a counterpart, the authors propose a method of sphincterotomy, which is performed by means of spring synchrometer and allows you to explore the function of the anal sphincter at rest, when natureway and arbitrary compression anus. Synchromedia as follows: in the rectum enter ovoid. The rod is attached to the steelyard. Measuring the force of retention of the ovoid anal sphincter at rest and volitional effort. (Ammini. Tutorial on proctology. Moscow. 1977, p.12-13).

The disadvantages of analog is:

1. The specified method does not allow to allocate power pubic-pryamokishechnye muscles from the sum of the forces of the muscles of the anal sphincter at rest, when natureway and arbitrary compression of the anus.

<> 2. It is not possible to judge the degree of participation puborectalis muscles in the work of the locking apparatus of the rectum.

As a prototype, the authors propose a method of determining the anorectal angle, which reflects the work and dysfunction pubic-pryamokishechnye muscles. Anorectal angle is formed in the transition zone of the rectal ampulla into the anal canal. The rectal wall in this area takes place in the pelvic bottom, and through the draft pubic-pryamokishechnye muscles axis of the anal canal is sent to the navel. Anorectal angle was determined by proctography. The rectum with an enema filled with barium. You proctography in lateral projection. On an x-ray image put two imaginary line axis of the rectal ampulla and the axis of the anal canal. Formed anorectal angle, which normally is equal to 90 degrees. Increase anorectal angle leads to the coincidence of the axes of the capsules of the rectum and anal canal and violations of its holding (Rivkin V.L. Bronstein A.S., S. Fayne. Guide of Coloproctology. Medpraktika. 2001, p.101).

The disadvantage of the prototype is:

1. The only method of measuring anorectal angle is proctography.

2. Proctography is time-consuming and expensive method that requires x-ray equipment, consumables to her and with whom Acelino trained personnel.

3. When conducting proctography is radiation load on the patient, which creates the possibility of negative impact on the health of the patient and limits the scope of application of the method.

The authors propose a method for diagnosing operation locking apparatus of the rectum by measuring the ANO-coccygeal angle.

The method consists in the following: on the skin outlines two points located in the projection of the distal coccyx, and symphysis.

Overlay line corresponds to an imaginary line between these points on the skin. Another conditional line is a continuation of the axis of the anal canal above the surface of Ganoderma, which is determined by introducing into the anal canal to a depth of 3 cm metal kernel length 10 cm, diameter 1.9 mm, with divisions from 1 to 3 see Proposed to measure the angle formed between a line and a metal rod, one side of which is a segment from a point located in the projection of the distal coccyx to the axis of the anal canal, and the other is the continuation of the axis above the surface of anoderm, and call this angle the ANO-coccygeal.

The essence of the way of exploring the locking function of the rectum is illustrated by a drawing. On the skin outlines two points located in the projection of the distal coccyx (1) and the symphysis (2). Overlay line of matches in brahimaj line between these points on the skin (3). Another conditional line is a continuation of the axis of the anal canal above the surface of anoderm (4), which is determined by introducing into the anal canal to a depth of 3 cm metal kernel length 10 cm, diameter 1.9 mm, with divisions from 1 to 3 cm (5). Between the line and the rod is measured ANO-coccygeal angle (6).

Authors using the method for the diagnosis of disorders of the rectum by measuring the ANO-coccygeal angle was examined 28 patients with normal locking operation of the rectum. This angle is ranged from 60 to 86 degrees. 30 people were surveyed with clinical signs of violations of the locking apparatus of the rectum: her incontinence, tears of the perineum, resection of the rectum with incontinence, hemorrhoids. On average, external ANO-coccygeal angle in this group of patients was more than 90 degrees.

Clinical example. Patient 28 years. Was admitted to the hospital with rupture of the perineum and incontinence rectum. The patient performed proctography. There was an increased anorectal angle up to 100 degrees. The patient is measured ANO-coccygeal angle, which was 106 degrees.

New compared to the prototype is:

1. To study the functions of the rectum is the measurement of anorectal angle, and ANO-coccygeal angle.

2. Measurement of the ANO-coccygeal PC angle can be performed without Proctor is the philosophy, that allows you to take the radial load on the patient.

3. The proposed study can be performed as an outpatient and to reduce the cost of research.

Method for the diagnosis of disorders of the rectum, characterized in that the skin outline two points located at the opposite distal coccyx, and symphysis, to designated points make a line, respectively, an imaginary line between these points on the skin in the anal canal to a depth of 3 cm impose a metal rod of length 10 cm, diameter 1.9 mm, with divisions from 1 cm to 3 cm, measured ANO-coccygeal angle between a line and a metal rod, one side of which is a segment from a point located in the projection of the distal coccyx to the axis of the anal canal, and the other the continuation of this axis above the surface of anoderm, at ANO cocilovo angle more than 90° diagnose violations of state locking apparatus of the rectum.



 

Same patents:

FIELD: medicine.

SUBSTANCE: method involves marking two points mapping distal coccyx and symphysis part positions. Ruler is applied to the points over the imaginary coccygeosymphyseal line. Then, another ruler is taken for measuring anococcygeosymphyseal distance from external anal orifice point to the coccygeosymphyseal line in rest state and in straining effort state. The distance being from 0 to 1 cm large both in rest state and in straining effort state, norm is to be diagnosed. The anococcygeosymphyseal distance value being higher, perineal descent syndrome is considered to be the case.

EFFECT: avoided X-ray examination.

1 dwg

FIELD: medicine.

SUBSTANCE: method involves distinguishing four degrees in sexual development delay. Minimum sexual development delay degree is characterized by the following parameters. Uterus width and thickness corresponds to age-specific norm. Median uterine M-echo is recorded. Uterus neck is differentiated from uterus body with angle between them being well distinguished. All ovarian dimensions correspond to norm. Light sexual development delay degree is characterized as follows. All uterine dimensions are two years smaller, when compared to age-specific norm. Median uterine M-echo is recorded. Uterus neck is differentiated from the uterus body. Ovary length and thickness correspond to age-specific norm. Moderate sexual development delay degree is characterized as follows. All uterine dimensions are three-four years smaller, when compared to age-specific norm. Median uterine M-echo and reduced ovary length and thickness are recorded. Severe sexual development delay degree is characterized as follows. All uterine dimensions are six-eight years smaller, when compared to age-specific norm. No uterus neck is differentiation from the uterus body is available. No median uterine M-echo is recorded. Ratio coefficient of length and anteroposterior dimension of uterine body to length and anteroposterior dimension of uterus neck is additionally determined in each sexual development delay degree case. Uterine blood vessel lumen, ovary echostructure as number, diameter of minimum and maximum follicles in them are determined in energetic Doppler mapping mode. Uterus length having 1-2 years delay when compared to norm, ratio coefficient of uterus and neck dimensions being equal to 1.5-1.7, uterine blood vessel lumen being equal to 5-6 mm, follicle number being in norm, diameter of minimum and maximum follicles having 1-2 years delay when compared to age-specific norm, minimum sexual development delay degree is diagnosed (IA). Uterine blood vessel lumen being equal to 4-5 mm, coefficient of uterus and neck dimensions being equal to 1.3-1.5, follicle number being in norm, ovary width having 1-2 years delay when compared to norm, minimum follicles having 2 years delay when compared to age-specific norm, maximum follicles having 2-3 years delay, light sexual development delay degree is diagnosed (IB). All uterine dimensions being three-four years smaller, when compared to age-specific norm, uterus neck being differentiated from uterus body with angle between them being poorly distinguished, uterine blood vessel lumen being equal to 2-3 mm, ratio coefficient of uterus and neck dimensions being equal to 1.2-1.5, reduced follicle number having 1-2 years delay when compared to age-specific norm, ovary width having 2-3 years delay when compared to norm, minimum follicles diameter having 2 years delay when compared to age-specific norm, maximum follicles diameter having 2-3 years delay, moderate sexual development delay degree is diagnosed (II). Uterine blood vessel lumen diameter being equal to 1 mm, ovaries dimensions delay being of 2-3 years with lacking follicular apparatus in them, severe sexual development delay degree is diagnosed (III).

EFFECT: high accuracy and self-descriptiveness of the method.

FIELD: medicine, obstetrics.

SUBSTANCE: one should carry out clinical and ultrasound uterine testing, moreover, additionally, on the 3d and the 7th d of post-operational period it is necessary to detect conditional area of uterine sutures, systolo-diastolic ratio (SDR), percentage content of lymphocytes against total amount of cells in uterine aspirate to establish protein coefficient (PC) and leukocytic index of intoxication (LII) being necessary to state upon prognostic coefficients F1 and F2 by the following formulas: F1 = -6726.59 + 27.58 x K1 + 21.84 x K2 - 0.03 x K3 + 93.36 x K4 + 156.47 x K5 - 4.21 x K6 + 760.82 x K7 + 978.46 x K8 + 11.47 x K9 + 96.40 x K10 + 306.40 x K11 + 321.13 x K12 - 24.32 x K13 - 50.56 x K14; F2 = -57.81.76 + 35.89 x K1 + 26.50 x K2 + 0.00 x K3 + 96.81 x K4 + 146.78 x K5 - 3.89 x K6 + 500.76 x K7 + 651.60 x K8 + 4.83 x K9 + 34.83 x K10 + 276.16 x K11 + 535.35 x K12 - 14.26 x K13 - 17.28 x K14, where digital values - the constants of discriminant equation and discriminant coefficients, K1,2...14 - gradations and digital values of post-operational period flow: K1 - the length of uterine sutures on the 3d d, K2 - the width of uterine sutures on the 3d d, K3 - conditional area of sutures on the 3d d, K4 - the length of uterine sutures on the 7th d, K5 - the width of uterine sutures on the 7th d, K6 - conditional area of sutures on the 7th d, K7 - SDR right-hand on the 7th d, K8 - SDR left-hand on the 7th d, K9 - percentage content of lymphocytes against the total amount of cells in uterine aspirate on the 3d d, K10 - percentage content of lymphocytes against the total amount of cells in uterine aspirate on the 7th d, K11 - PC on the 3d d, K12 - PC on the 7th d, K13 - LII on the 3d d, K14 - LII on the 7th d, and at F1>F2 one should predict favorable nature in recovery of uterine wound and at F1<F2 - unfavorable nature.

EFFECT: higher accuracy and efficiency of evaluation.

2 ex

FIELD: veterinary science.

SUBSTANCE: during the first 1-3 h of life one should measure umbilical diameter and at its diameter being above 18 mm it is possible to diagnose earlier manifestation of omphalitis that, in its turn, enables to perform antibacterial therapy in due time and avoid mortality in animals.

EFFECT: higher accuracy of diagnostics.

1 ex, 1 tbl

FIELD: medicine, oncourology.

SUBSTANCE: one should choose the number of points for biopsy : 1 point of biopsy/5 cu. cm of an organ, then it is necessary to detect the portion of cancerous parenchyma in bioptates in percentage morphometrically due to analyzing of not less than 1000 points minimum in 5 sections of preparation, the volume of cancerous parenchyma in an organ should be detected by the following formula:

where X - average value for the portion of cancerous parenchyma in an organ, in %; ΣA - the portion of cancerous parenchyma in bioptate in %; N - the number of bioptates. The present innovation enables to detect cancerous parenchyma both in case of interrupted and diffused forms of prostatic cancer.

EFFECT: higher accuracy of detection.

1 dwg, 3 ex

FIELD: medicine, neurology.

SUBSTANCE: the method deals with detecting an interferon status followed by medicinal therapy. Moreover, additionally one should determine patient's body area, and at observed degree I of interferon system suppression it is necessary to prescribe "Antilympholin Kz" preparation as medicinal therapy intravenously by drops at course dosage being (0.5-0.6)g x S, where S - patient's body area, every other day, and thioctacide preparation at the dosage of 300-600 mg intravenously by drops daily at a 6-8-d-long course. In case of degrees II and III of interferon system suppression one should prescribe "Antilympholin Kz" at course dosage being 0.4-0.5 g/sq. m and 0.3 -.4 g/sq. m, as for thioctacide - it should be applied at the dosage of 600-900 mg and 900-1200 mg, correspondingly. The method enables to selectively affect the immune system efficiently due to combined prescription of an immunimodulator and a preparation that accelerates its introduction at suppressing the activity of proinflammatory cytokines that prolongs disease remission due to preventing the development of immunological disorders.

EFFECT: higher efficiency of therapy.

3 ex

FIELD: medicine.

SUBSTANCE: method involves taking foot imprint and outline picture, drawing bimalleolar line and determining longitudinal axis of the foot. To do it, transverse axis of internal ankle-bone is additionally drawn intersecting the longitudinal foot axis at right angle and the bimalleolar line at an angle of α corresponding to the magnitude of external ankle-bone displacement relative to internal ankle-bone of the tibia in its distal portion. Talocrural articulation center projection position is determined in intersecting the transverse internal ankle-bone axis at an angle of β corresponding to the magnitude of external ankle-bone displacement relative to the talocrural articulation center projection position. The external ankle-bone displacement relative to internal ankle-bone being equal to 10-15° and that of the talocrural articulation center projection to 20-30°, tibia position is considered to be normal in the distal portion of tibia. The external ankle-bone displacement relative to internal ankle-bone being equal to 15.5-20° and that of the talocrural articulation center projection to 31-40°, moderate displacement of tibia position in the distal portion of tibia is considered to be the case. The external ankle-bone displacement relative to internal ankle-bone being greater than 20,5° and that of the talocrural articulation center projection greater than 41°, marked displacement of tibia position in the distal portion of tibia is considered to be the case.

EFFECT: high accuracy of the method.

3 dwg

FIELD: medicine.

SUBSTANCE: method involves producing foot imprints on specially fixed flat-bed scanner capable to withstand human body weight load. Foot imprint processing is carried out by means of software for automating examination process. Operator marks foot image according to a pattern. The operator selects 12 key points with mouse unit and draws straight lines from point to point and calculates positions of calculatable points on foot image. Diagnostic values are calculated after having marked up the foot separately for anterior, median and posterior portions of the foot.

EFFECT: high diagnostic accuracy and accelerated examination.

4 dwg

FIELD: medicine, cardiology, endocrinology, gynecology.

SUBSTANCE: one should detect informational-valuable signs of patient's state, such as either the presence or absence of hypertonic disease and uterine extirpation together with adnexa, the value of body weight index, predominance of disorders according to modified menopausal index (MMI)such as autonomic, metabolic-endocrine or psycho-emotional ones, the type of metabolic structures of blood serum, moreover, it is necessary to echocardiographically detect stroke volume, cardiac index and systemic vascular resistance (SVR), at ultrasound testing one should detect maximal linear rate of circulation (LRC max) by medial cerebral artery and thyroid alterations, rheovasographically one should detect specific circulation (SC) of shins, at testing laser doppler flowmetry one should detect microcirculation index, biochemically it is necessary to detect the value of beta-adrenoreactivity, cholesterol level and that of B-lipoproteides, crystallographically - the presence of serotonin and dopamine crystals, due to immunoenzymatic assay on should detect the values by Table 1 and then after obtaining the values of diagnostic coefficients of every parameter it is necessary to summarize them and obtain diagnostic index (DI), at its value being below 10 one should state no alteration, at its value 10-10 - undetermined state, at its value being 21-30 - the 2nd severity degree of disorders, and at DI value being above 31 one should state the 3d severity degree of disorders available.

EFFECT: higher accuracy of evaluation.

5 ex, 2 tbl

The invention relates to medicine and can be used in endoscopic surgery

FIELD: medicine, cardiology, endocrinology, gynecology.

SUBSTANCE: one should detect informational-valuable signs of patient's state, such as either the presence or absence of hypertonic disease and uterine extirpation together with adnexa, the value of body weight index, predominance of disorders according to modified menopausal index (MMI)such as autonomic, metabolic-endocrine or psycho-emotional ones, the type of metabolic structures of blood serum, moreover, it is necessary to echocardiographically detect stroke volume, cardiac index and systemic vascular resistance (SVR), at ultrasound testing one should detect maximal linear rate of circulation (LRC max) by medial cerebral artery and thyroid alterations, rheovasographically one should detect specific circulation (SC) of shins, at testing laser doppler flowmetry one should detect microcirculation index, biochemically it is necessary to detect the value of beta-adrenoreactivity, cholesterol level and that of B-lipoproteides, crystallographically - the presence of serotonin and dopamine crystals, due to immunoenzymatic assay on should detect the values by Table 1 and then after obtaining the values of diagnostic coefficients of every parameter it is necessary to summarize them and obtain diagnostic index (DI), at its value being below 10 one should state no alteration, at its value 10-10 - undetermined state, at its value being 21-30 - the 2nd severity degree of disorders, and at DI value being above 31 one should state the 3d severity degree of disorders available.

EFFECT: higher accuracy of evaluation.

5 ex, 2 tbl

FIELD: medicine.

SUBSTANCE: method involves producing foot imprints on specially fixed flat-bed scanner capable to withstand human body weight load. Foot imprint processing is carried out by means of software for automating examination process. Operator marks foot image according to a pattern. The operator selects 12 key points with mouse unit and draws straight lines from point to point and calculates positions of calculatable points on foot image. Diagnostic values are calculated after having marked up the foot separately for anterior, median and posterior portions of the foot.

EFFECT: high diagnostic accuracy and accelerated examination.

4 dwg

FIELD: medicine.

SUBSTANCE: method involves taking foot imprint and outline picture, drawing bimalleolar line and determining longitudinal axis of the foot. To do it, transverse axis of internal ankle-bone is additionally drawn intersecting the longitudinal foot axis at right angle and the bimalleolar line at an angle of α corresponding to the magnitude of external ankle-bone displacement relative to internal ankle-bone of the tibia in its distal portion. Talocrural articulation center projection position is determined in intersecting the transverse internal ankle-bone axis at an angle of β corresponding to the magnitude of external ankle-bone displacement relative to the talocrural articulation center projection position. The external ankle-bone displacement relative to internal ankle-bone being equal to 10-15° and that of the talocrural articulation center projection to 20-30°, tibia position is considered to be normal in the distal portion of tibia. The external ankle-bone displacement relative to internal ankle-bone being equal to 15.5-20° and that of the talocrural articulation center projection to 31-40°, moderate displacement of tibia position in the distal portion of tibia is considered to be the case. The external ankle-bone displacement relative to internal ankle-bone being greater than 20,5° and that of the talocrural articulation center projection greater than 41°, marked displacement of tibia position in the distal portion of tibia is considered to be the case.

EFFECT: high accuracy of the method.

3 dwg

FIELD: medicine, neurology.

SUBSTANCE: the method deals with detecting an interferon status followed by medicinal therapy. Moreover, additionally one should determine patient's body area, and at observed degree I of interferon system suppression it is necessary to prescribe "Antilympholin Kz" preparation as medicinal therapy intravenously by drops at course dosage being (0.5-0.6)g x S, where S - patient's body area, every other day, and thioctacide preparation at the dosage of 300-600 mg intravenously by drops daily at a 6-8-d-long course. In case of degrees II and III of interferon system suppression one should prescribe "Antilympholin Kz" at course dosage being 0.4-0.5 g/sq. m and 0.3 -.4 g/sq. m, as for thioctacide - it should be applied at the dosage of 600-900 mg and 900-1200 mg, correspondingly. The method enables to selectively affect the immune system efficiently due to combined prescription of an immunimodulator and a preparation that accelerates its introduction at suppressing the activity of proinflammatory cytokines that prolongs disease remission due to preventing the development of immunological disorders.

EFFECT: higher efficiency of therapy.

3 ex

FIELD: medicine, oncourology.

SUBSTANCE: one should choose the number of points for biopsy : 1 point of biopsy/5 cu. cm of an organ, then it is necessary to detect the portion of cancerous parenchyma in bioptates in percentage morphometrically due to analyzing of not less than 1000 points minimum in 5 sections of preparation, the volume of cancerous parenchyma in an organ should be detected by the following formula:

where X - average value for the portion of cancerous parenchyma in an organ, in %; ΣA - the portion of cancerous parenchyma in bioptate in %; N - the number of bioptates. The present innovation enables to detect cancerous parenchyma both in case of interrupted and diffused forms of prostatic cancer.

EFFECT: higher accuracy of detection.

1 dwg, 3 ex

FIELD: veterinary science.

SUBSTANCE: during the first 1-3 h of life one should measure umbilical diameter and at its diameter being above 18 mm it is possible to diagnose earlier manifestation of omphalitis that, in its turn, enables to perform antibacterial therapy in due time and avoid mortality in animals.

EFFECT: higher accuracy of diagnostics.

1 ex, 1 tbl

FIELD: medicine, obstetrics.

SUBSTANCE: one should carry out clinical and ultrasound uterine testing, moreover, additionally, on the 3d and the 7th d of post-operational period it is necessary to detect conditional area of uterine sutures, systolo-diastolic ratio (SDR), percentage content of lymphocytes against total amount of cells in uterine aspirate to establish protein coefficient (PC) and leukocytic index of intoxication (LII) being necessary to state upon prognostic coefficients F1 and F2 by the following formulas: F1 = -6726.59 + 27.58 x K1 + 21.84 x K2 - 0.03 x K3 + 93.36 x K4 + 156.47 x K5 - 4.21 x K6 + 760.82 x K7 + 978.46 x K8 + 11.47 x K9 + 96.40 x K10 + 306.40 x K11 + 321.13 x K12 - 24.32 x K13 - 50.56 x K14; F2 = -57.81.76 + 35.89 x K1 + 26.50 x K2 + 0.00 x K3 + 96.81 x K4 + 146.78 x K5 - 3.89 x K6 + 500.76 x K7 + 651.60 x K8 + 4.83 x K9 + 34.83 x K10 + 276.16 x K11 + 535.35 x K12 - 14.26 x K13 - 17.28 x K14, where digital values - the constants of discriminant equation and discriminant coefficients, K1,2...14 - gradations and digital values of post-operational period flow: K1 - the length of uterine sutures on the 3d d, K2 - the width of uterine sutures on the 3d d, K3 - conditional area of sutures on the 3d d, K4 - the length of uterine sutures on the 7th d, K5 - the width of uterine sutures on the 7th d, K6 - conditional area of sutures on the 7th d, K7 - SDR right-hand on the 7th d, K8 - SDR left-hand on the 7th d, K9 - percentage content of lymphocytes against the total amount of cells in uterine aspirate on the 3d d, K10 - percentage content of lymphocytes against the total amount of cells in uterine aspirate on the 7th d, K11 - PC on the 3d d, K12 - PC on the 7th d, K13 - LII on the 3d d, K14 - LII on the 7th d, and at F1>F2 one should predict favorable nature in recovery of uterine wound and at F1<F2 - unfavorable nature.

EFFECT: higher accuracy and efficiency of evaluation.

2 ex

FIELD: medicine.

SUBSTANCE: method involves distinguishing four degrees in sexual development delay. Minimum sexual development delay degree is characterized by the following parameters. Uterus width and thickness corresponds to age-specific norm. Median uterine M-echo is recorded. Uterus neck is differentiated from uterus body with angle between them being well distinguished. All ovarian dimensions correspond to norm. Light sexual development delay degree is characterized as follows. All uterine dimensions are two years smaller, when compared to age-specific norm. Median uterine M-echo is recorded. Uterus neck is differentiated from the uterus body. Ovary length and thickness correspond to age-specific norm. Moderate sexual development delay degree is characterized as follows. All uterine dimensions are three-four years smaller, when compared to age-specific norm. Median uterine M-echo and reduced ovary length and thickness are recorded. Severe sexual development delay degree is characterized as follows. All uterine dimensions are six-eight years smaller, when compared to age-specific norm. No uterus neck is differentiation from the uterus body is available. No median uterine M-echo is recorded. Ratio coefficient of length and anteroposterior dimension of uterine body to length and anteroposterior dimension of uterus neck is additionally determined in each sexual development delay degree case. Uterine blood vessel lumen, ovary echostructure as number, diameter of minimum and maximum follicles in them are determined in energetic Doppler mapping mode. Uterus length having 1-2 years delay when compared to norm, ratio coefficient of uterus and neck dimensions being equal to 1.5-1.7, uterine blood vessel lumen being equal to 5-6 mm, follicle number being in norm, diameter of minimum and maximum follicles having 1-2 years delay when compared to age-specific norm, minimum sexual development delay degree is diagnosed (IA). Uterine blood vessel lumen being equal to 4-5 mm, coefficient of uterus and neck dimensions being equal to 1.3-1.5, follicle number being in norm, ovary width having 1-2 years delay when compared to norm, minimum follicles having 2 years delay when compared to age-specific norm, maximum follicles having 2-3 years delay, light sexual development delay degree is diagnosed (IB). All uterine dimensions being three-four years smaller, when compared to age-specific norm, uterus neck being differentiated from uterus body with angle between them being poorly distinguished, uterine blood vessel lumen being equal to 2-3 mm, ratio coefficient of uterus and neck dimensions being equal to 1.2-1.5, reduced follicle number having 1-2 years delay when compared to age-specific norm, ovary width having 2-3 years delay when compared to norm, minimum follicles diameter having 2 years delay when compared to age-specific norm, maximum follicles diameter having 2-3 years delay, moderate sexual development delay degree is diagnosed (II). Uterine blood vessel lumen diameter being equal to 1 mm, ovaries dimensions delay being of 2-3 years with lacking follicular apparatus in them, severe sexual development delay degree is diagnosed (III).

EFFECT: high accuracy and self-descriptiveness of the method.

FIELD: medicine.

SUBSTANCE: method involves marking two points mapping distal coccyx and symphysis part positions. Ruler is applied to the points over the imaginary coccygeosymphyseal line. Then, another ruler is taken for measuring anococcygeosymphyseal distance from external anal orifice point to the coccygeosymphyseal line in rest state and in straining effort state. The distance being from 0 to 1 cm large both in rest state and in straining effort state, norm is to be diagnosed. The anococcygeosymphyseal distance value being higher, perineal descent syndrome is considered to be the case.

EFFECT: avoided X-ray examination.

1 dwg

FIELD: medicine.

SUBSTANCE: method involves marking two points mapping distal coccyx and symphysis part positions. Ruler is applied to the points over the imaginary coccygeosymphyseal line between the points on skin. 10 cm long metal rod of 1.9 mm diameter having ticks from 1cm to 3 cm is introduced into anal canal. Anococcygeal angle is measured between the ruler and the metal rod. One angle side is segment binding a point belonging to distal coccyx part projection to anal canal axis and the other side is the continuation of this axis above anodermal surface. The coccygeal angle magnitude being greater than 90°, rectum obturation apparatus disorder is to be diagnosed.

EFFECT: high accuracy of early stage diagnosis.

1 dwg

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