THE RESULTS OF ULTRASOUND AND MAGNETIC RESONANCE TOMOGRAPHY IN WOMEN WITH COMBINED UTERUS PATHOLOGY WITH LEIOMYOMA AND ADENOMYOSIS
DOI:
https://doi.org/10.11603/24116-4944.2019.1.10186Keywords:
ultrasound, magnetic resonance imaging, leiomyoma, adenomyosisAbstract
The aim of the study – to analyze the results of ultrasound and magnetic resonance imaging in women with combined uterine pathology leiomyoma and adenomyosis.
Materials and Methods. 120 women of reproductive age, patients with combined pathology of the uterus leiomyoma and adenomyosis were examined.
Results and Discussion. The spherical shape of the uterus was found in 53.3 % of cases, an increase in the antero-posterior size of the uterus of more than 45 mm and a thickening of the uterine connecting zone of more than 12 mm were 74.2 % and 89.2 %, respectively. Multiple cystic lesions in the uterine wall were detected in 100 % of patients, the diffuse form of uterine lesions – in 65.7 %. Degree I of adenomyosis was found in 20.0 %, grade II – 20.8 %, grade III – 50.0 %, grade IV – in 9.2 % of cases. A combination of uterine leiomyoma and adenomyosis was detected in all patients. The main localization of leuomatous nodes is intramural (73.3 %) and subserous (100 %). Multinuclear form was diagnosed in 100 % of patients with mixed subserous-interstitial localization of nodes and adenomyosis.
Conclusion. Ultrasound and magnetic resonance imaging occupy a leading place among modern methods of diagnosis of combined uterine pathology with leiomyoma and adenomyosis.
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