EVALUATION OF ULTRASOUND PARAMETERS IN WOMEN WITH ENDOMETRIAL HYPERPROLIFERATIVE PATHOLOGY
DOI:
https://doi.org/10.11603/24116-4944.2019.2.10924Keywords:
endometrial hyperproliferative pathology, uterine body polyp, endometrial hyperplasia, reproductive age, ultrasoundAbstract
The aim of the study – to determine the echographic features of the pelvic organs in women of reproductive age with non-atypical hyperproliferative pathology of the endometrium (NHPE).
Materials and Methods. Ultrasound examination (ultrasound) of the pelvic organs was performed for 184 patients of reproductive age with NHPE, divided into 3 groups: I – women with non-atypical endometrial hyperplasia (NEH) (n = 60); II – patients with polyps of the uterus (PU) (n = 62); III – patients with combined NHPE (NEH + PU) (n = 62). The control group consisted of 30 women of reproductive age without the presence of gynecological pathology.
Results and Discussion. An increase in the size of the uterus was found in most of the examined main groups – in 126 (68.5 %) people. In 143 (77.7 %) patients with NHPE, the ultrasound picture is characterized by pronounced polymorphism. NEH was characterized by an increase in thickness and a change in the echostructure of the endometrium, mismatch of the indicators on the day of the menstrual cycle. With PU, endometrial heterogeneity and the presence of echopositive oval formations with a size (0.2–0.4) cm of a homogeneous structure were observed. Tissue heterogeneity with prevalence of hyperechoic inclusions with a diameter of (0.1–0.3) cm due to foci of fibrosis and calcification of the basal layer of the endometrium, echographically consistent with signs of chronic endometritis was found in 35.3 % of women with NHPE. For clarity, drawings of ultrasound images of various types of NHPE are provided.
Conclusions. It is transvaginal ultrasound of the pelvic organs in women with NGPE that is an affordable, fast and informative diagnostic method in identifying such a gynecological pathology in women of reproductive age.
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