ORGAN-PRESERVING SURGICAL TREATMENT AND FREQUENCY RECURRENCE OF ENDOMETRIOSIS.
DOI:
https://doi.org/10.11603/24116-4944.2015.2.4778Keywords:
ендометріоз, лапароскопічний метод, онкомаркер СА 125.Abstract
The aim of our study was to determine the dynamics of CA-125 UM patients before and after surgical treatment and in the process of pregravid preparation. Under our supervision there were 186 patients treated for external genital endometriosis. The control group consisted of 20 healthy non-pregnant women. The age of patients ranged from 22 to 42 years. Primary infertility was 70.8 %, secondary - 29.2 %. All patients surveyed in the first stage underwent surgery. Laparoscopy was performed using endoscopic equipment with a set of tools according to the standard technique. Overview when laparoscopy was found the magnitude of endometrioid heterotopias, their amount, maturity (color and shape), the presence of endometrial cysts and adhesions. At the approach to the selection of the intervention adhered to the principles sparing surgery, which is important for female patients of reproductive age who are interested in preserving or restoring fertility. We used the method of endometrioma cysts within healthy tissue with minimal coagulation in the wound. Patients included in this study, the surveys were conducted, which included a thorough history, physical examination, staging process during laparoscopic interventions and determination of CA-125, HE4 and index ROMA in the dynamics before treatment, after treatment (every 3 months). Quality marker activity endometrioma process is an indicator of CA-125. Particularly relevant is the definition of this indicator in dynamics to predict recurrence of the disease and evaluating the effectiveness of treatment, both surgical and medical.
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