Optimization of right iliac area disease diagnosis by use of trans-resonant topography

The paper is concerned with the analysis of 605 research results obtained with the use of the trans-resonant functional topographer in the period from February, 2002 to March, 2009. An experimental group of patients consisted of rather healthy volunteers. The research was conducted with the help of trans-resonant topographers. From 605 patients diagnosed with acute appendicitis the diagnosis was confirmed in 363 patients (60 %). As a result of the research it was established that in 118 patients with phlegmonous appendicitis the level of RO amounted to 6,1V The standard deviation (σ, SD) made 0,2V. All cases of acute appendicitis were confirmed by means of histologic examinations. For 30 cases with gangrenous appendicitis, revealed after surgical treatment, the average value of RO amounted to 4,4V. The standard deviation (σ, SD) made 0,68V. In 129 patients, whose diagnosis was changed to mesenteric adenitis, the average value of RO amounted to 7,3V. The standard deviation (σ, SD) made 0,16V. For 107 patients with intestine dyskinesia the average value of RO amounted to 8,6 V. The standard deviation (σ, SD) - 0,16 V In 111 patients with catarrhal appendicitis, revealed after surgical treatment, the average value of RO amounted to 10,38 V. The standard deviation (σ, SD) made 0,32V. The change of the RO level by less than 6,6 V and persisting pain in the right iliac area and over the pubis is indicative of destructive forms of appendicitis. Sensitivity of criterion: “the level of RO less than 6,6 V + pain in the right iliac area and/or over a pubis” for destructive diseases of the right iliac area made 100 %. Specificity and accuracy under these circumstances amounts to 98 %.