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Abstract:

According to current recommendations and orders of the Russian Ministry of Health, in the department of ultrasound diagnostics of the oncological center, it is necessary and lawfully to perform invasive manipulations to obtain a morphological verification of the oncological process. Nevertheless, there are significant gaps in the existing normative acts concerning organizational aspects.

Aim: to conduct an analysis of the organization and results of morphological testing of malignant neoplasms in conditions of separation of ultrasonic diagnostics of the Kursk Regional Clinical Oncology Center.

Materials and methods: 5,114 results of histological and immunohistochemical studies of material obtained with biopsies under ultrasound in the period 2012 - 2016 were analyzed. For the first time we included into department - 2 manipulation rooms, corresponding to sanitary requirements for conducting sterile manipulations. We first install Sonoscape S40 scanners in the manipulation rooms. All invasive examinations were performed by ambulatory and resident patients by ultrasound specialists who have a primary specialization in surgery, gynecology or urology Core biopsy was performed under local anesthesia with semi-automatic needles 14G or 16G; a gun-needle system biopsy was performed using a Bard-Magnum biopsy gun, 18 G needle, and a biopsy attachment to the rectal sensor. The material was preserved in a 10% solution of neutral formalin, labeled and sent to the department of oncomorphology with application of the direction to the intravital pathological anatomical study of the biopsy material. Statistical processing of the data was carried out using the SPSS program «STATISTICS 20.0». Conjugation tables were compiled to determine the relationship between variables. Pearson's x2 was used as the communication criterion, and its asymptomatic two-sided significance was estimated.

Results. During the research, high efficiency of the proposed organizational model is revealed. A statistical relationship is revealed between the informativeness of the material and the physiciar who manipulates and organ-object. Ways of development are offered.

 

References

1.      Kaprin A.D., Starinskij V.V., Petrova G.V. The state of oncological care for the population of Russia in 2013. M.: FGBU «MNIOI im. PA. Gercena» Minzdrava Rossii. 2014; 235 s [In Russ].

2.      Order of the Ministry of Health of the Russian Federation of 04.07.2017 No. 379n «On Amending the Procedure for the provision of medical care to the population in the field of oncology, approved by Order of the Ministry of Health of the Russian Federation of November15, 2012No.915n»].URL.:http://www.consultant.ru/document/cons_doc_LAW_220809/f891655c8c9f6864b656ef 38dba5a212e7e2b0e6/ (Data obrashhenija 23.10.2017) [In Russ].

3.      Chissov V.I., Dar'jalova S.L. [Oncology]. M.: «GJeOTAR-Media». 2007; 560 s [In Russ].

4.      Ponedel'nikova N.V., Korzhenkova G.P, Letjagin VP, Vishnevskaja Ja.V. Choice of the method of verifying the volume of newgrowth of the mammary gland at the preoperative stage. Opuholi zhenskoj reproduktivnoj sistemy. 2011; 1: 41-45 [In Russ].

5.      Nazarenko G.I., Hitrova A.N. Ultrasonic diagnostics of the prostate in modern oncological practice. M.: Izdatel'skij dom Vidar-M. 2012; 288s [In Russ].

6.      About the improvement of the service of radiation diagnosis: the order of the Ministry of Health of the RSFSR of August 2, 1991 № 132. URL.:http:// www.rasudm.org /information/docs.htm (Data obrashhenija 23.10.2017) [In Russ].

7.      Order of the Ministry of Health of the Russian Federation of December 27, 2011 N 1664n "ОП the approval of nomenclature of medical services". URL.:http://www.consultant.ru/cons/cgi/online.cgi?req=doc&base=LAW&n=27 8063&fld=134&dst=1,0&rnd=0.05494875175266367#0 (Data obrashhenija 04.11.2017) [In Russ].

8.      Decree of the Chief State Sanitary Doctor of the Russian Federation of May 18, 2010 No.58 «On approval SanPiN 2.1.3.2630-10» Sanitary and epidemiological requirements for organizations engaged in medical activities «with amendments and additions from: March 4, June

10,    2016. URL.: http://base.garant.ru/12177989/ #ixzz4xU73XzAB (Data obrashhenija 04.11.2017) [In Russ].

9.      Attachment №2 to the order of the Ministry of Health of the Russian Federation of March 24, 2016 N 179n «On the Rules of Pathology and Anatomical Research» (registered by the Ministry of Justice of the Russian Federation on April 14, 2016, registrationN41799). URL.:http://pravo.gov.ru/proxy/ips/?docbody=&nd= 102396069 (Data obrashhenija 04.11.2017) [In Russ].

10.    SPSS: the art of information processing. Analysis of statistical data and restoration of hidden regularities. Ahim Bjujul', Peter Cefel'.- DiaSoft, 2005; 608 s [In Russ].

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