Fistulography: cost, indications, contraindications, procedure

August 24, 2017 23:00 | Methods Of Diagnosis

A special diagnostic method that allows the most detailed study of the course of the pathological process of svishchevrazovaniya in the bones and joints, fistulography helps in the process of diagnosing the patient's condition, as well as provide complete information for the formulation of the therapeutic treatment system.To carry out this diagnostic method, a special contrast agent is used, which allows to determine the presence of fistulous movements, their direction and extent.

This method with the help of a contrast medium is based on its introduction into the cavity and further radiographic examination.Obtaining the most complete data on the state of bones and joints during fistulography allows us to call this method the most suitable for determining the presence of damage in them.

What is fistulography

The research method, which allows to determine the presence of fistula in bones and joints, fistulography is often recommended for conducting a comprehensive study of the state of the bone syste

m and identifying the existing pathologies in them.

To determine the existing lesions in the bones and fistulous passages, a contrast agent is used in them, which, with a further x-ray, gives an indication of the extent of the lesion.Also this method allows to detect the presence of inflammatory processes and abscesses, the presence of extraneous bodies.With the help of fistulography, it is possible to trace the direction of the existing fistulous passages in order to make the most effective scheme of their treatment.

As a contrast agent, an oily or aqueous solution of iodine is usually used. Before its introduction, the fistulous course is cleared of the contents, then a contrast agent is introduced.Passing along the entire length of fistulous passages, it allows tracing by their x-ray direction and extent.With increased soreness, local anesthesia can be used to perform this manipulation.

To whom it is assigned

This diagnostic technique is suitable in many cases.In the presence of a fistula of any nature, it is fistulography that makes it possible to get the most complete picture of the current process and draw up a scheme for the drug and therapeutic effects.Indications for the appointment of fistulography should be considered fistulas of the following origin:

  • fistula in the esophagus and intestines;
  • fistulas in the bladder, bile ducts( pathways), after cholecystectomy;
  • formation of fistulous passages in gastric tissue;
  • cutaneous and intestinal fistula;Fistulas vaginalis
  • ;
  • fistula caused by a foreign body, an inflammatory process in any part of the body and internal organs.

Fistulography also helps to identify fistulous passages in purulent lesions of bone tissue( osteomyelitis).

Why it is needed

The procedure for fistulography is assigned to obtain complete information on the occurrence of a fistula about the duration of the fistulous course, its degree of development and the location of the dislocation. Also, fistulography is re-recommended for the introduction of adjustments to the initial treatment method.

Types of this procedure

Depending on the contrast medium used, the types of procedure differ.

  1. So, usually used an aqueous or oily solution of iodine, which is introduced into the fistulous course under local anesthesia( with a palpable painfulness of this manipulation).
  2. Also used as a contrast agent is barium sulphate( its aqueous or oily solution), which allows to determine the degree of development of the pathological process with especially wide fistulous passages.

The description of indications for the fistulography is given below.

Indications for

The purpose of the fistulography is usually performed by the attending physician based on the preliminary diagnosis of the affected organ.The main indications can be the following states:

  1. Osteomyelitis.
  2. Pilonidal sine.
  3. Fistulas of various nature in the digestive tract( in the tissues of the stomach, intestines).
  4. Ear fistulas.
  5. If there are fistulas in the vagina.
  6. With subcutaneous fistulae.

Diagnostics with the help of this method allows to determine the degree of development of the process in the presence of purulent contents of the fistula of any localization.

Contraindications for use

Contraindications for fistulography should be considered:

  • fibrillation from the fistulous course,
  • with individual contrast intolerance,
  • in the severe current condition of the patient,
  • and also in the inflammatory processIn the place of fistula appearance.

In the presence of current inflammatory pathology, which adversely affects the overall well-being of the patient, fistulography is not recommended.

Is the

procedure safe? According to medical analysis, the fistulography procedure is safe for the patient.However, a list of contraindications should be considered so as not to cause side effects during treatment.

Preparing for it

  • Before fistulography, the fistula from the contents should be cleared, and then a contrast agent is introduced.
  • And in order not to cause an allergic reaction, you must first lubricate the entrance of the fistula with oil solution.
  • Prior to this type of examination, a preliminary radiographic examination of the affected organ is also carried out, preferably in several projections.

How everything passes

This type of diagnosis can cause some soreness, which is reduced by local anesthesia.Before the introduction of a contrast agent, the fistula's passage from the purulent contents should be cleared;After this procedure, the contrast agent is removed and the stroke is cleared with a disinfectant solution.

When fistulography is performed in the implementation of X-rays after the introduction of a contrast agent, several images are taken in different projections - this allows you to better see the course and direction of fistula strokes.

Decoding of the results

The procedure is appointed by the attending physician if the patient has symptoms that indicate the presence of fistulas in different locations of localization.And the result is also deciphered only by a specialist.

The most reliable result about the general health status of the patient, as well as the degree of development of the pathological process can be obtained with additional analysis.

The average cost of the procedure

The price of this method of examination, fistulography, can differ slightly depending on the price policy of the medical institution: the cost is usually from 1,890 to 2,120 rubles.

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