23 -8 (82) 2025 - Axmadjonov J.U., Kasimov A.L. - FEATURES OF LABORATORY AND INSTRUMENTAL DIAGNOSTIC FINDINGS OF DEEP PARAPROCTITIS IN PATIENTS WITH DIABETES MELLITUS

FEATURES OF LABORATORY AND INSTRUMENTAL DIAGNOSTIC FINDINGS OF DEEP PARAPROCTITIS IN PATIENTS WITH DIABETES MELLITUS

Axmadjonov J.U. - Andijan State Medical Institute

Kasimov A.L. - Andijan State Medical Institute

Usmonov E.I. - Andijan State Medical Institute

Hoshimov I.M. - Andijan State Medical Institute

Resume

In this scientific article, the authors examine the nature and characteristics of laboratory and instrumental-diagnostic manifestations of deep paraproctitis in patients with diabetes mellitus. The study involved 48 patients with deep paraproctitis and concomitant diabetes mellitus, focusing on general clinical and laboratory indicators. The researchers investigated hemostasis parameters, biochemical markers, indicators of inflammation and endogenous intoxication, as well as microbial contamination of purulent wounds in these patients. The findings revealed that laboratory, microbiological, and instrumental-diagnostic signs of deep paraproctitis in diabetic patients are characterized by a tendency towards progressive systemic inflammation against a background of metabolic decompensation.Thus, it has been revealed that deep paraproctitis in patients with diabetes mellitus requires a specific diagnostic approach based on a multifactorial assessment of clinical, laboratory, and microbiological data, along with the targeted use of imaging methods and consideration of the severity of metabolic disorders.

Keywords: deep paraproctitis, diabetes mellitus, features of clinical manifestations. diagnosis.

First page

126

Last page

133

For citation:Axmadjonov J.U., Kasimov A.L., Usmonov E.I., Hoshimov I.M. - FEATURES OF LABORATORY AND INSTRUMENTAL DIAGNOSTIC FINDINGS OF DEEP PARAPROCTITIS IN PATIENTS WITH DIABETES MELLITUS//New Day in Medicine 8(82)2025 126-133 https://newdayworldmedicine.com/en/new_day_medicine/8-82-2025

List of References

1. Ефимов С.В., Агеев Ю.Н. Роль КТ и МРТ в диагностике парапроктита. — М.: Медкнига, 2022. — 212 с.
2. Журавлев И.А., Климов С.В. Диагностика и тактика при глубоких формах парапроктита. — СПб.: Фолиант, 2018. — 192 с.
3. Казаков Н.А., Чернышев А.М. Ультразвуковая диагностика в колопроктологии. — М.: МЕДпресс-информ, 2020. — 264 с.
4. Моргун Д.В., Лукьянов А.А. Микробиологические особенности раневых инфекций. — М.: НЦХ РАМН, 2019. — 240 с.
5. Смирнова Е.А., Захарова А.Ю. Роль гликемического контроля при хирургическом лечении осложнений сахарного диабета. — М.: Медицинское информационное агентство, 2020. — 192 с.
6. AlKhater S.A., Ghosh S. Imaging of anorectal sepsis: an update and review // Eur. J. Radiol. Open. — 2020. — Vol. 7. — P. 100259
7. Beets-Tan R.G.H., Beets G.L., van der Hoop A.G. et al. Preoperative assessment of local staging in rectal cancer with MR imaging: accuracy and clinical implications // Radiology. — 2021. — Vol. 219, No. 2. — P. 445–452
8. García-Aguilar J., Belmonte C., Wong W.D. et al. Anal fistula surgery: factors associated with recurrence and incontinence // Dis. Colon Rectum. — 2016. — Vol. 39, No. 7. — P. 723–729
9. Lee M.J., Symons R. Perianal abscess: when is imaging necessary? // Emerg. Radiol. — 2019. — Vol. 26, No. 3. — P. 319–326
10. Spencer J.A., Ward J., Knowles G. et al. Imaging of anorectal sepsis: comparison of endoluminal sonography with CT and MR imaging // Clin. Radiol. — 2016. — Vol. 51, No. 10. — P. 750–757

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