Purpose of the research is improving the early diagnosis of chronic viral hepatitis B, C and D by using of modern technologies of complex ultrasound scanning in children.
Materials and Methods: We surveyed 184 children with the chronic viral hepatitises (CVH), from them 150 (81%) children with CVHB, 15 (8%) children with CVHC, 19 (11%) children with CVHD. Boys was 102, girls 82.
Results: Comlex echography with dopplerography in children with chronic viral hepatitis B, C, D showed criteria for formation of portal hypertension included combination of the following indicators of complex echography: splenomegaly, dilatation of the portal vein system, reduction of linear blood flow velocities, increase in indices of resistance, reduction of blood flow volume in all the studied arteries. The most marked hemodynamic deviations with minimum CVH activity were revealed in the spleen artery. Reliable reduction of linear blood flow velocities, blood Vvol and increase in pulse index (PI) as well as tendency to increase in RI were found. Increase in RI and PI in all the studied vessels indicated about worsening of blood flow in the affected organ due to increase in vessel wall tonus. Reduction TAMX in the celiac bed and its major braches showed tendency to increase in vascular pathological changes in the vascular bed, intensity of which increased during progress of pathological process in the liver.
Conclusion: Revealed separate peculiarities of clinical echographic criteria for formation of portal hypertension in children chronic viral hepatitis promote timely diagnostics of out hepatic displays in liver pathology, which is very important for performing measures of complex therapy and patients’ rehabilitation.
