Echographic markers of combined pathology of uterus for women reproductive age

Authors

  • Serhij Sendetskiy Shupyk National Healthcare University of Ukraine

Keywords:

united pathology of uterus, echography, markers, reproductive age

Abstract

DOI: 10.52705/2788-6190-2024-01-11
UDC 618.14-007.61-007.415-002.18:611.664]-073.43-055.2-053.84

The objective: the women of reproductive age have a study of echographic features of the united
pathology of uterus.
Materials and methods. Were inspected 153 patients from adenomyosis in combination with the
pathological processes of endometrium. The set clinical diagnosis of adenomyosis appeared the
criterion of selection on the basis of careful analysis clinical-and-anamnestic, instrumental-diagnostic
and morphological information. In the cases when after complex clinical-and-instrumental
and histological inspection the clinical diagnosis of adenomyosis caused doubts, this fact was the
criterion of exception. Fact of combination of adenomyosis with the leiomyoma of uterus by sizes
15 and more than weeks also was pregnancy the criterion of exception. Research echographic
we applied as a screening instrumental method in diagnostics of adenomyosis for all inspected
patients.
Results. During the leadthrough of echography, taking into account development of adenomyosis
at the invasion of endometrium from a basale layer in a myometrium, and also taking
into account the structural changes adjoining to endometrium areas of myometrium verified at
morphology, the special attention was spared to the scan-out of the so-called «bordeline» area.
The followings signs of echo appear during the detailed visualization of this area: an unclear
limit is between a myometrium and endometrium; uneven bulge of «bordeline» area; a heterogeneous
structure of limit is a «endometrium- myometrium», where the hyperechoic including
appear as shallow, more frequent than the rounded or linear structures. Bulge of back wall at
adenomyosis, that is registered at ultrasonic research, it was marked in 68,2% cases, front wall
– 32,4%, areas of bottom – 28,3%. Adenomyosis for all patients was diffuse. Adenomyosis of
2 degrees found out in a 1 group in 47,5%, in 2 groups – in 39,3%, in 3 groups – in 23,9%, and
in 4 groups in 10,3% patients; adenomyosis of 3 degrees – in 52,5%, 61,1%, 76,1% and 90,2%
patients respectively.
Conclusions. Research echographic, especially with the use of coloured Doppler mapping, matters
very much in diagnostics of the united forms of adenomyosis and hyperplastic processes
of endometrium. Correct interpretation of the got echographic results at this united pathology
allows to develop rational tactic of conduct of such patients and conduct the adequate monitoring
of medical process. The got results must be taken into account at development of algorithm of
diagnostic and treatment-and-prophylactic measures.

Author Biography

Serhij Sendetskiy , Shupyk National Healthcare University of Ukraine

Graduate student of departments of obstetrics, gynaecology and
medicine of fetus of Shupyk National Healthcare University of Ukraine, Kyiv. E-mail: serzh049@
gmail.com

Published

10.04.2024

How to Cite

1.
Сендецький С. Echographic markers of combined pathology of uterus for women reproductive age. par [Internet]. 2024 Apr. 10 [cited 2024 Jun. 18];4(1):69-76. Available from: http://par.org.ua/index.php/par/article/view/171