GENDER FEATURES OF THE LINEAR PARAMETERS OF THE GALL BLADDER AND EXTRAHEPATIC BILIARY TRACT IN PEOPLE OF DIFFERENT PERIODS OF MATURE AGE ACCORDING TO COMPUTER TOMOGRAPHY DATA

Zubko L. Yu.

MORPHOLOGY

Scentific article

The growth of the pathology of the hepatobiliary system in the structure of somatic diseases induces the study of the morphological features of the structures of this system in order to develop effective preventive measures for the development of pathological processes and reduce the iatrogenic complications in the process of their treatment. Improvement of life-time examination methods allows to identify individual anthropometric and morphological features of internal organs and structures. In the course of the study we used the method of computed tomography (CT) on the device SiemensSomatomEmotion 16-section, providing high-quality images with reduced radiation load in a three-plane projection, followed by the processing of results by the operating program in 3D-COR mode, which allows to detect not only pathological form, but also the location of small elements of organs and their topographical correlation. As a result of the analysis of computer tomograms (a sample of 24 persons), it was found that the ratio of the studied indices in men and women of different age groups, as well as their age dynamics, are different and characteristic both for each indicator and for patients of each sex. According to the results of measurements of linear parameters of the gall bladder and biliary tract and their analysis, the ratio of the studied indices in men and women of different age groups, as well as their age dynamics are different and characteristic for each indicator, and for individuals of each sex. The linear dimensions of the length of the gall bladder, the width of the neck of the gallbladder, the thickness of the wall of the gall bladder, and the angle of the fall of the bladder duct are larger in males. The linear dimensions of the width of the bottom of the gall bladder, the width of the widest part of the gall bladder, the length and width of the right and left hepatic ducts, the angle of convergence of the liver ducts, the length and width of the cystic duct, the length and width of the common liver duct are greater in females. The same age dynamics in persons of different sex with the tendency to increase have the following linear dimensions: the width of the widest part of the gall bladder, the thickness of the wall of the gall bladder, the width of the right hepatic duct, the width of the left hepatic duct, the length of the cystic duct, the width of the cystic duct, the length of the common liver duct, width of the common bile duct. The tendency for decrease in persons of the second age group, regardless of sex, is the angle of fall of the bladder duct, the length of the right hepatic duct, the length of the left hepatic duct and the length of the common bile duct. Equal proportions of the studied indices in persons of different sex, which are preserved in both age groups, have the width of the gall bladder bottom, the width of the widest part of the gall bladder, and the width of the neck of the gall bladder. The inclining angles of extrahepatic bile ducts have the following features: the angle of the right and left hepatic duct climb is greater in females; with age, this indicator for men is increasing, and for women is decreasing. The incidence of the bladder duct is higher in men in both periods of mature age, with a tendency to decrease in the persons of both sexes.

gall bladder, extrahepatic bile ducts, matureage, linear dimensions, computer tomography

1. Paliy IH, Zayika SV, Yasʹko LP. Aktualʹnistʹ rannʹoyi diahnostyky zhovchnokamʹyanoyi khvoroby v ambulatornykh umovakh. Zdorovʹya Ukrayiny XXI storichchya. 2007;2(159):51. [in Ukrainian].
2. Heneralʹnaya Assambleya Orhanyzatsyy Obʹedynennykh Natsyy. Deklaratsyya tysyacheletyya Orhanyzatsyy Obʹedynennykh Natsyy [Internet]. Nʹyu-York: OON; 2000. Dostupno: htt://www.un.org/Russian/dokumen/ declarant/summitdecl.htm [in Russiаn].
3. Dudnyk SV, Koshelya II. Tendentsiyi stanu zdorovʹya naselennya Ukrayiny. Zdorovʹya natsiyi. 2016:4(40):67-77. [in Ukrainian].
4. Perederiy NO, Dubinin SI, Ulanovsʹka-Tsyba NA. The VII International Academic Congress “Fundamental and Applied Studies in Ell and CIS Countries”. Vplyv sezonnykh rytmiv na morfolohichnyy stan stinky zhovchnoho mikhura u lyudey zriloho viku: 2017 Feb 26-28; Cambridge. England; 2017. p. 77-84.
5. Hayda SM. Tendentsiyi poshyrenosti zhovchokamyanoyi khvoroby sered naselennya Ukrayiny. Ukrayinsʹkyy medychnyy chasopys. 2011;4:112– 3. [in Ukrainian].
6. Melʹnyk MP. Osoblyvosti morfometrychnykh parametriv pidshlunkovoyi zalozy ta zhovchnoho mikhura u misʹkykh cholovikiv i zhinok Podillya v zalezhnosti vid viku ta stati. Biomedical and biosocial anthropology. 2014;23:21-4. [in Ukrainian].
7. Zubko LYu, Masna ZZ. Porivnyalʹnyy analiz sonohrafichnoho i kompʹyuterno-tomohrafichnoho obstezhenʹ struktur hepatobiliarnoyi systemy u osib zriloho viku. Visnyk problem biolohiyi i medytsyny. 2017;3(4):255-60. [in Ukrainian].
8. Nurmetova IK, Kukhar ID. Osoblyvosti suchasnykh antropolohichnykh doslidzhenʹ po vstanovlennyu vzayemozv’yazkiv u zhyvomu orhanizmi. Visnyk morfolohiyi. 2007;2(13):470–3. [in Ukrainian].
9. Horbunov NS. Abdomynalʹnaya antropolohyya (metodolohycheskye aspekty y osnovnye polozhenyya). Sovremennye problemy abdomynalʹnoy antropolohyy: yubyl. sb. nauch. tr. Krasnoyarsk. 2001;2002:11-4. [in Russian].
10. Tumansʹka NV, Nordio OH, Kichanhina TM, Myahkov SO. Renthenolohichni metody doslidzhennya zhovchnoho mikhura ta zhovchnovyvidnykh shlyakhiv (ZHVSH) pry zhovchnokamyanoyi khvorobi (ZHKKH) ta yiyi uskladnennyakh. Zaporizhzhya: ZDMU: 2018. 80 s. [in Ukrainian].
11. Syvolap VD. Osnovy diahnostyky, likuvannya ta profilaktyky osnovnykh khvorob orhaniv travlennya [Internet]. Zaporizhzhya/ZDMU; 2017. 259 s. [in Ukrainian].
12. Andreeva YV, Vynohradov AA. Perspektyvy yspolʹzovanyya sovremennykh metodov vyzualyzatsyy v morfolohycheskykh y eksperymentalʹnykh yssledovanyyakh. Nauka molodykh. Eruditio Juvenium. 2015;4:56-69. [in Russian].
13. Skyrda IYu, Hladun VM, Zakrevsʹka OV. Tochnistʹ metodiv vizualizatsiyi v diahnostytsi hostroho kholetsystytu. Hastroenterolohiya. 2015;l(55):3141. [in Ukrainian].
14. Keplinger KM, Bloomston M. Anatomy and embryology of the biliary tract. Surg. Clin. North Am. 2014. Apr;94(2):203-17.
15. Strazzabosco M, Fabris L. Development of the bile ducts: essentials for the clinical hepatologist. J. Hepatol. 2012 May;56(5):1159-70.

«Bulletin of problems biology and medicine» Issue 1 Part 1 (148), 2019 year, 268-273 pages, index UDK 611.366/.367]-053.8-071.3-073.756.8.

10.29254/2077-4214-2019-1-1-148-268-273