INTRODUCTION OF ELASTOGRAPHY FOR DIAGNOSIS OF HYPERPLASTIC PROCESSES IN GYNECOLOGY
DOI:
https://doi.org/10.11603/24116-4944.2021.1.12364Keywords:
elastography, proliferative processes, leiomyoma, polypAbstract
The aim of the study – to learn the effectiveness of elastography as an additional method of diagnosis during ultrasound examination of the pelvic organs in patients with hyperplastic processes of the uterus and endometrium; analyze the indicators of elastographic examination depending on the location of proliferation processes and the obtained results of elastographic indices; evaluate the indicators obtained for decision-making on treatment and conservative monitoring of this group of patients.
Materials and Methods. We examined 52 women of reproductive age from 24 to 40 years with hyperplastic processes of the uterus and endometrium, among them – 20 women with diffuse nodular, diffuse or nodular forms of uterine leiomyoma, 15 – with endometrial hyperplasia, 17 – with endometrial polyps. General clinical studies, ultrasound of the pelvic organs using elastography using ultrasound of the General Electric Voluson E8. In case of suspicion of atypical etiology of processes, a histopathological examination was performed.
Results and Discussion. It was shown that ultrasound elastography in patients with hyperplastic processes of the uterus and endometrium is an additional method of examination, which allows differentiating hyperplastic processes of the endometrium from the oncological process, verifies the morphological etiology of endometrial polyps, diagnoses the state of nodular and diffuse growths in uterine leiomyoma to control conservative management and treatment.
Conclusions. Ultrasound elastography is an additional examination method and allows to differentiate hyperplastic processes of the endometrium from an oncological process, makes it possible to assess the depth of invasion and determine the structure of the endometrium, which expands the possibilities of conservative observation. Elastography in the diagnosis of myometrium increases the verification of the state of the myometrium, identifies the morphological etiology of endometrial polyps by determining the density. Diagnoses the condition of nodular and diffuse growths in uterine leiomyoma for monitoring conservative management and treatment.
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