Clinical­and­anamnestic features of adenomyosis and combined pathology of uterus

Abstract

DOI: 10.52705/2788-6190-2024-04.1-13
УДК 618.14-006.55-036-071.1

The objective: to learn a role of clinical-and-anamnestic information in development and motion of adenomyosis on the modern stage.
Materials and methods. An inspection was conducted 110 patients. A basic group was made by 60 patients, patients on adenomyosis of different degree of activity and prevalence. Depending on the degree of expressed of basic clinical displays, characteristic for adenomyosis, all investigational patients from adenomyosis (n=60) de bene esse parted on two clinical sub-groups: 1.1 – 38 patients from clinically «active» adenomyosis; 1.2 – 22 patients from clinically «nonactive» adenomyosis. A control group was made by 50 patients reproductive and premenopausal age without adenomyosis.
Results. As a result of analysis of previous diagnoses on the prehospital stage for patients on adenomyosis was found out considerable heterogeneity diagnosed. From 60 patients in 30 women (50%) this diagnosis was put correctly, in 11 women (18,3%) of adenomyosis by mistake was accepted for a uterine fibroids, in 7 (11,7%) – for hyperplasia and endometrial polyps, in 4 (6,7%) – after dysfunctional uterine bleeding, in 2 (3,3%) – at ovarian cystadenoma. 6 women (9%) of patients were examined and treatment for a neurologist, gastroenterologist, internist with suspicion on hernia of disk, osteochondrosis, colitis long time, adhesive process and others like that.
Conclusions. On the basis of clinical-and-anamnestic information and results of gynaecological inspection of adenomyosis it was suspected in 48 patients, it is confirmed from them – in 28. Part of false positive results was 41%. However from 60 patients with confirmed adenomyosis in a clinical diagnosis this pathology was taken away in 31. Thus, part of false negative results was
48%. Test-sensitivity – 51,7%, specificity – 59%. The got results must be taken into account during the conducting of early diagnostics and prognostication of adenomyosis.