Перегляд за Автор "Abdullayev, R. Ya."

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    Sonographic characteristics of carotid atherosclerosis in patients with ischemic stroke
    (Азербайджанский медичний журнал, 2024-02-16) Abdullayev, R. Ya.; Yefymenko, A. S.; Sysun, L. A.; Dudnyk, T. A.; Abdullayev, R. R.; Дудник, Тетяна Анатоліївна
    The article presents the results of sonographic diagnosis of carotid atherosclerosis in 127 patients with ischemic stroke (IS) aged 38-74 year (average age 56±7 years). The comparison group (CG) consisted of 51 people with risk factors for cardiovascular diseases without a history of stroke. It has been established that arterial hypertension and type 2 diabetes mellitus are significantly more common among patients with IS than in patients of CG. The frequency of localization of atherosclerotic plaques on the walls of the carotid arteries was determined depending on the course of the stroke. Severe stroke was observed in 79 (62.2±4.3%), moderate – in 27 (21.3±3.6%) and mild – in 21 (16.5±3.3%) patients, respectively. It was found that in 73.4±5.0% of patients with severe stroke, atherosclerotic plaques were noted in the 3rd segment of the carotid artery, corresponding to 2 cm distal from the bifurcation. Combined atherosclerotic lesion of 2 (62.0±5.5%) and 3 (48.1±5.6%) segments, the greatest thickness of intima-media (2.41±0.37 mm) and atherosclerotic plaque (3.62±0.43 mm), as well as carotid stenosis (62.5±6.7%) were significantly more often recorded in patients with severe stroke. В статье представлены результаты сонографической диагностики каротидного атеросклероза у 127 больных ишемическим инсультом (ИИ) молодого, среднего и пожилого возраста (средний возраст 56±7 лет). Сравнительную группу (СГ) составили 51 человек с наличием факторов риска сердечно-сосудистых заболеваний без инсульта в анамнезе. Установлена, что артериальная гипертензия и сахарный диабет 2-го типа среди больных с ИИ встречается достоверно чаще, чем в СГ. Определена частота локализации атеросклеротических бляшек на стенках сонных артерий в зависимости от течения инсульта. Тяжелое течение инсульта отмечалось у 79 (62.2±4.3%), умеренное – у 27 (21,3±3,6%) и легкое – у 21 (16,5±3,3%) пациента, соответственно. Установлено, что у 73,4±5,0% больных с тяжелым течением инсульта атеросклеротические бляшки отмечались в 3-м сегменте каротидной артерии, соответствующий на 2 см дистально от бифуркации. Сочетанное атеросклеротическое поражение 2-х (62,0±5,5%) и 3-х (48,1±5,6%) сегментов, наибольшая толщина интима-медиа (2,41±0,37 mm) и атеросклеротической бляшки (3,62±0,43 mm), а также каротидный стеноз (62,5±6,7%) достоверно чаще регистрировались у больных с тяжелым течением инсульта.
  • Ескіз недоступний
    Документ
    Допплерометрия магистальних артерий головного мозга
    (Azerbaijan medical journal, 2021-01) Abdullayev, R. Ya.; Dudnik, T. A.; Tovajnyanskaya, Ye. L.; Kozarenko, T. M.; Vasko, L. N.; Markovskaya, E. V.; Zhukova, T. A.; Жукова, Тетяна Олександрівна; Дудник, Тетяна Анатоліївна; Васько, Лариса Миколаївна
    The article presents information on the study of the hemodynamics of the main cerebral arteries by the Doppler method. For this purpose, the results of Doppler measurements of the vessels of the Willis circle were analyzed in 56 healthy persons aged 41-60 years with normal cholesterol levels. Ultrasonography revealed no signs of carotid atherosclerosis. The study was carried out in triplex mode from transtemporal access in color and spectral Doppler mode. In the color Doppler mode, the middle, anterior and posterior cerebral arteries (MCA, ACA, PCA) had smooth contours. Their diameter varied in the range of 3.9-6.1 (5.3±0.6) mm, 3.2-4.7 (3.8±0.4) mm, and 2.7-4.1 (3,4±0.3) mm, respectively. MCA was visualized in 53 (94.6%) cases, ACA - in 51 (91.1%), PCA - in 52 (92.9%) cases. The maximum systolic blood flow velocity in the MCA was 85-126 (107,2±6,3 cm/s), in the ACA - 64-89 (72,6±5,3 cm/s) in the PCA - 59-86 (64,8±5,2 cm/s), respectively. The minute volume of blood flow (Vvol) in the CMA was 103.4±9.3 cm3/min, in the ACA - 36.5±7.8 cm3/min, in the PCA - 28.7±4.9 cm3/min, respectively.
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    Документ
    Ультрасонографическая диагностика дегенеративной болезни дисков поясничного отдела
    (Азербайджанский медицинский журнал = Azerbaijan medical gournal, 2020-12) Абдуллаев, Р. Я.; Абдуллаєв, Р. Я.; Abdullayev, R. Ya.; Куликова, Ф. И.; Куликова, Ф. І.; Kulikova, F. I.; Головко, Т. С.; Головко, Т. С.; Golovko, T. S.; Дудник, Татьяна Анатольевна; Дудник, Тетяна Анатоліївна; Dudnik, T. A.; Байбаков, В. М.; Байбаков, В. М.; Baibakov, V. M.; Васько, Лариса Николаевна; Васько, Лариса Миколаївна; Vasko, L. M.; Жукова, Татьяна Александровна; Жукова, Тетяна Олександрівна; Zhukova, T. O.
    Summary. The article provides information on ultrasonographic (USG) diagnostics of lumbar degenerative disc disease (DDD) in 119 people aged 27-56 years. Disc protrusion in 4 (6.2%) cases was at the L2-L3 level, in 19 (29.2%) - at the L3-L4 level, in 24 (36.9%) - at the L4-L5 level, and in 18 (27.7%) - at level L5- S1. In 4 (7.4%) cases, hernia was recorded at the L3-L4 level, in 21 (38.9%) - at the L4-L5 level, and in 29 (53.7%) - at the L5-S1 level. Median protrusion was noted in 29 (44.6%), hernia - in 17 (31.5%) cases, paramedian - in 25 (38.5%) and 23 (42.6%), posterolateral - in 11 (16.9%) and 14 (25.9%) cases. Against the background of disc protrusion in 35 (64.8%) cases lumbago (Pl-s <0.01), in 19 (35.2%) - sciatica was noted, and against the background of a hernia - in 27 (41.5%) cases lumbago and in 38 (58.5%) - sciatica (Ps-l <0.01). Against the background of lumbago median protrusion (protrusion + hernia) of the disc was observed in 39 (62.9%) cases, paramedian - in 17 (27.4%), posterolateral - in 6 (9.7%) cases; against the background of sciatica - in 7 (12.3%), 31 (54.4%) and 19 (33.3%) cases. When comparing USG and MRI, good image quality of discs was obtained in 54 (45.4%) and 65 (63.7%) cases (P <0.01), satisfactory - in 57 (47.9 ± 4.5%) and 32 (31.4 ± 4.6%), unsatisfactory - in 8 (6.7 ± 2.3%) and 5 (4.9 ± 2.1%) cases. According to the results of the study, USG is an informative method in diagnostics of lumbar DDD. DDD naibole more often affects the lower lumbar discs. The posterolateral localization of the hernia and protrusion is more often accompanied by sciatica, paramedian and median - lumbago.