Objective. To study the condition of the pelvic organs in women of reproductive age with uterine leiomyoma UL, depending on the type of treatment based on ultrasonographic monitoring.Materials and methods. 299 women of reproductive age were examined. Patients were divided into 3 groups: 1 group consisted of 159 women with uterine leiomyoma (UL) who underwent surgical treatment, 2 group – 120 women with UL who underwent conservative treatment, 3 control group consisted of 20 healthy women of reproductive age. In order to obtain the most complete information about the size of the uterus, the structure and topography of myomas, the features of their vascularization, patients underwent ultrasound before and 3 months after treatment.Results. Ultrasound examination of the average parameters of the uterine body in the main groups showed an excess of these indicators relative to the control group (3.2 times in group 1 and 1.3 times in group 2). Uterine volume was greater in women of group 1 compared with women of groups 2 and 3 (p <0.05). In most cases, in 139 (49.0%) women of the main groups, the localization of fibroids was intramural with central growth, without changing the configuration of the uterus from the outside and was not deformed cavity. Whereas, intramural nodes with centripetal growth deformed the uterine cavity in 39 (14.0%) cases, and centrifugal - in 100 (36.0%) subjects - its contour. Mixed and central types of angioarchitectonics were characteristic of women with the largest uterine sizes. In dynamic ultrasound examination in women after conservative myomectomy who did not receive hormone therapy, the level of myometrial perfusion was higher than in those who received gonadotropin-releasing hormones before and after treatment, which may be more prognostically favorable for UL recurrence. Women in group 2 after receiving conservative treatment had a positive tendency to reduce the volume of the uterus and fibroids.Conclusions. Ultrasound diagnostics can be considered a highly informative, non-invasive method that helps to identify the presence, location, structure, size of the myoma, the presence of concomitant pathology of the pelvic organs, as well as in addition to Doppler color flow mapping and pulsed Doppler blood allows us to detect the presence of tumor blood circulation. Echographic and Doppler evaluation of uterine leiomyoma with peculiarities of vascularization in the diagnostic algorithm helps to differentiate the choice of the method of treatment (conservative or surgical).
®М. В. Бражук, В. К. Кондратюк, І. О. Баранецька ДУ «Інститут, педіатрії, акушерства та гінекологіїНАМНУкраїни» СТАН МІКРОБІОЦЕНОЗУ НИЖНІХ СТАТЕВИХ ШЛЯХІВ ТА ЗАХОДИ ЙОГО КОРЕКЦІЇ У ЖІНОК З ПОЗАМАТКОВОЮ ВАГІТНІСТЮСТАН МІКРОБІОЦЕНОЗУ НИЖНІХ СТАТЕВИХ ШЛЯХІВ ТА ЗАХОДИ ЙОГО КОРЕКЦІЇ У ЖІНОК З ПОЗАМАТКОВОЮ ВАГІТНІСТЮ. У статті представлена інформація про особливості ведення жінок з позаматковою вагітністю до, під час і після оперативного лікування для підвищення ефективності відновлення мікробіоценозу нижніх відділів статевих шляхів, що в подальшому може сприяти поліпшенню репродуктивного здоров'я цієї групи пацієнтів.СОСТОЯНИЕ МИКРОБИОЦЕНОЗА НИЖНИХ ПОЛОВЫХ ПУТЕЙ И СПОСОБЫ ЕГО КОРРЕКЦИИ У ЖЕНЩИН С ВНЕМАТОЧНОЙ БЕРЕМЕННОСТЬЮ. В статье представлена информация про особенности ведения женщин с внематочной беременностью до, во время и после оперативного лечения для повышения эффективности восстановления микробиоценоза нижних отделов половых путей, что в последующем может способствовать улучшению репродуктивного здоровья этой группы пациентов. MICROBIOCENOSIS OF LOWER GENITAL TRACT AND METHODS OF ITS CORRECTION IN WOMEN WITH ECTOPICPREGNANCY. The article presents some information on therapeutic approaches to the management of women with an ectopic pregnancy before, during and after surgery, to improve the efficiency of recovery microbiocenosis lower genital tract that can contribute to improving in general reproductive health of this group of patients.Ключові слова: позаматкова вагітність, мікробіоценоз нижніх статевих шляхів, мікрофлора.Ключевые слова: внематочная беременность, микробиоценоз нижних половых путей, микрофлора.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.