HYSTEROSCOPY IN THE DIAGNOSIS OF HYPEROPYLOFERATIVE PROCESSES OF ENDOMETRIUM

Authors

  • A. G. Kornatskaya ГУ «Институт педиатрии, акушерства и гинекологии имени академика Е. М. Лукьяновой НАМН Украины»
  • I. B. Vovk ГУ «Институт педиатрии, акушерства и гинекологии имени академика Е. М. Лукьяновой НАМН Украины»
  • N. E. Gorban ГУ «Институт педиатрии, акушерства и гинекологии имени академика Е. М. Лукьяновой НАМН Украины»
  • I. I. Raksha ГУ «Институт педиатрии, акушерства и гинекологии имени академика Е. М. Лукьяновой НАМН Украины»

DOI:

https://doi.org/10.11603/24116-4944.2018.2.9283

Keywords:

hysteroscopy, polyp of the uterus body, hyperproliferative processes of the endometrium, combined hyperproliferative pathology of the uterus body, history of the hysteroscope

Abstract

The aim of the study – to clarify some technical features of using the hysteroscopic method in clinical practice, to analyze the results of hysteroscopy with subsequent pathohistological conclusion for studying the clinical picture of the variety of hyperproliferative pathology.

Materials and Methods. The study was conducted on the basis of the family planning department and the operative rehabilitation of the reproductive function of women at the Institute of Pediatrics, Obstetrics and Gynecology named after academician
E. M. Lukіanova of the National Academy of Sciences of Ukraine. Disease histories of 1177 patients of reproductive age with a verified diagnosis of polyp of the body of the uterus were analyzed. The examined women were in the reproductive age – from 20 to 49 years and on average was (36.1±2.54) years.

Results and Discussion. In the pathohistological study of the structure of the hyperproliferative pathology of the endometrium, the following indices were revealed in these patients. Isolated hyperproliferative pathology of the endometrium – polyp was verified in 289 (24.55 %) of women. In 321 (27.27 %) patients, the endometrial polyp was combined with a hyperproliferative uterine disease – with uterine leiomyoma, while in half of cases – in 162 (50.47 %) patients the leiomyoma had submucous localization and was removed during surgical manipulation. The combination of the polyp of the uterus body with adenomyosis was noted in 255 (21.67 %) patients. In 181 (15.38 %) patients with a polyp of the uterus body, a combination of uterine leiomyoma with adenomyosis was diagnosed. The above data unequivocally testify that when verifying the polyp of the uterus body, it is necessary to take extremely careful consideration of the examination of the state of the myometrium in such patients in order to detect possible initial pathological changes, which is decisive for the choice of further tactics for conducting such a case, and necessitates an individualized approach.

Сonclusions. 1. Being a "gold standard", the hysteroscopic polypectomy "See-and-Treat" has a high level of both clinical and economic benefits for gynecological patients, including those with impaired reproductive function.

  1. The isotonic fluid medium during hysteroscopy is a priority choice without causing hyponatremia, although there is a wide arsenal of authorized media that you need to know about.
  2. Hysteroscopy has a high level of diagnostic accuracy for a number of hyperproliferative endometrial processes, including the polyp of the uterus.
  3. The combined hyperproliferative pathology of the uterus is 67.4 % among patients with uterine body polyps, which indicates the need for a thorough examination of such patients in order to choose treatment tactics and individual approach.

Author Biography

A. G. Kornatskaya, ГУ «Институт педиатрии, акушерства и гинекологии имени академика Е. М. Лукьяновой НАМН Украины»

 

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Published

2018-11-16

How to Cite

Kornatskaya, A. G., Vovk, I. B., Gorban, N. E., & Raksha, I. I. (2018). HYSTEROSCOPY IN THE DIAGNOSIS OF HYPEROPYLOFERATIVE PROCESSES OF ENDOMETRIUM. Actual Problems of Pediatrics, Obstetrics and Gynecology, (2), 52–57. https://doi.org/10.11603/24116-4944.2018.2.9283

Issue

No. 2 (2018)

Section

OBSTETRICS AND GYNECOLOGY

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