Archimetra: imaging aspects of combined pathology of the endometrium and myometrium
Objectives: evaluation of changes in the endometrial-myometrial junction (EMJ) in the combined pathology of the endometrium and myometrium. Materials and methods. 50 perimenopausal women with combined pathology of the endometrium and myometrium (main group) were examined. The control group consisted...
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| Format: | Article |
| Language: | English |
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Publishing House TRILIST
2023-03-01
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| Series: | Репродуктивная эндокринология |
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| Online Access: | http://reproduct-endo.com/article/view/276435 |
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| author | I.Z. Hladchuk N.M. Rozhkovska V.H. Marichereda I.S. Lomakina I.V. Shpak D.M. Zhelezov |
| author_facet | I.Z. Hladchuk N.M. Rozhkovska V.H. Marichereda I.S. Lomakina I.V. Shpak D.M. Zhelezov |
| author_sort | I.Z. Hladchuk |
| collection | DOAJ |
| description | Objectives: evaluation of changes in the endometrial-myometrial junction (EMJ) in the combined pathology of the endometrium and myometrium.
Materials and methods. 50 perimenopausal women with combined pathology of the endometrium and myometrium (main group) were examined. The control group consisted of 30 practically healthy women of the same age who were examined for the male factor of infertility. All patients underwent a comprehensive examination, which included clinical and paraclinical research methods.
Patients were examined using transvaginal ultrasound. The DEERS (Diseases of Endometrium – Evaluation and Risk scoring System) index was used for the integral assessment of the endometrium and myometrium state.
Results. The average age of women was 43.4 ± 1.2 years. The combination of endometrial hyperplasia (EH) and intramural uterine myoma was found in 58.0% of cases, EH and submucous uterine myoma – in 14.0%, EH and endometrial polyps – in 10.0%, EH and external peritoneal endometriosis – in 12.0%, EH and adenomyosis – in 4.0%, EH, adenomyosis and uterine fibroids – in 2.0%.
The blood flow rate in the uterine arteries in the main group was 38.8 ± 0.6 cm/s, resistance index – 0.8 ± 0.04, pulsation index – 1.3 ± 0.1. In the control group the blood flow rate in the uterine arteries was 42.2 ± 0.8 cm/s without a clear difference of the sides, the resistance index – 0.9 ± 0.1, the pulsation index – 1.2 ± 0.1 (p > 0.05).
The total DEERS score in the main group was 13.2 ± 0.4 points, in the control group it was 7.3 ± 0.7 points. In the vast majority of cases (88.0%) EMJ was not involved in the pathological process. The average thickness of the EMJ in women from the control group was 0.45 ± 0.05 cm, in the main group – 0.42 ± 0.03 cm. At the same time, 36 (72.0%) women with combined pathology of the endometrium and myometrium had signs of hypomobility EMJ.
Conclusions. EMJ was not involved in the pathological process in the vast majority of patients with combined pathology of the endometrium and myometrium. At the same time, some women with combined pathology of the endometrium and myometrium showed signs of hypomobility of the EMJ. |
| first_indexed | 2024-03-11T15:20:50Z |
| format | Article |
| id | doaj.art-28aa27e9b5fb44268285df7ede34f309 |
| institution | Directory Open Access Journal |
| issn | 2309-4117 2411-1295 |
| language | English |
| last_indexed | 2024-03-11T15:20:50Z |
| publishDate | 2023-03-01 |
| publisher | Publishing House TRILIST |
| record_format | Article |
| series | Репродуктивная эндокринология |
| spelling | doaj.art-28aa27e9b5fb44268285df7ede34f3092023-10-28T14:18:14ZengPublishing House TRILISTРепродуктивная эндокринология2309-41172411-12952023-03-0167747810.18370/2309-4117.2023.67.74-78314601Archimetra: imaging aspects of combined pathology of the endometrium and myometriumI.Z. Hladchuk0https://orcid.org/0000-0003-2926-4125N.M. Rozhkovska1https://orcid.org/0000-0001-7860-3272V.H. Marichereda2https://orcid.org/0000-0002-1611-3654I.S. Lomakina3https://orcid.org/0000-0002-7987-2893I.V. Shpak4https://orcid.org/0000-0001-9239-5609D.M. Zhelezov5https://orcid.org/0000-0002-0071-2644Odesa National Medical University, Odesa, UkraineOdesa National Medical University, Odesa, UkraineOdesa National Medical University, Odesa, UkraineOdesa National Medical University, Odesa, UkraineOdesa National Medical University; Maternity Hospital No. 5, Odesa , UkraineMaternity Hospital No. 5, Odesa, UkraineObjectives: evaluation of changes in the endometrial-myometrial junction (EMJ) in the combined pathology of the endometrium and myometrium. Materials and methods. 50 perimenopausal women with combined pathology of the endometrium and myometrium (main group) were examined. The control group consisted of 30 practically healthy women of the same age who were examined for the male factor of infertility. All patients underwent a comprehensive examination, which included clinical and paraclinical research methods. Patients were examined using transvaginal ultrasound. The DEERS (Diseases of Endometrium – Evaluation and Risk scoring System) index was used for the integral assessment of the endometrium and myometrium state. Results. The average age of women was 43.4 ± 1.2 years. The combination of endometrial hyperplasia (EH) and intramural uterine myoma was found in 58.0% of cases, EH and submucous uterine myoma – in 14.0%, EH and endometrial polyps – in 10.0%, EH and external peritoneal endometriosis – in 12.0%, EH and adenomyosis – in 4.0%, EH, adenomyosis and uterine fibroids – in 2.0%. The blood flow rate in the uterine arteries in the main group was 38.8 ± 0.6 cm/s, resistance index – 0.8 ± 0.04, pulsation index – 1.3 ± 0.1. In the control group the blood flow rate in the uterine arteries was 42.2 ± 0.8 cm/s without a clear difference of the sides, the resistance index – 0.9 ± 0.1, the pulsation index – 1.2 ± 0.1 (p > 0.05). The total DEERS score in the main group was 13.2 ± 0.4 points, in the control group it was 7.3 ± 0.7 points. In the vast majority of cases (88.0%) EMJ was not involved in the pathological process. The average thickness of the EMJ in women from the control group was 0.45 ± 0.05 cm, in the main group – 0.42 ± 0.03 cm. At the same time, 36 (72.0%) women with combined pathology of the endometrium and myometrium had signs of hypomobility EMJ. Conclusions. EMJ was not involved in the pathological process in the vast majority of patients with combined pathology of the endometrium and myometrium. At the same time, some women with combined pathology of the endometrium and myometrium showed signs of hypomobility of the EMJ.http://reproduct-endo.com/article/view/276435combined pathologyendometriummyometriumvisualizationendometrial-myometrial junction |
| spellingShingle | I.Z. Hladchuk N.M. Rozhkovska V.H. Marichereda I.S. Lomakina I.V. Shpak D.M. Zhelezov Archimetra: imaging aspects of combined pathology of the endometrium and myometrium Репродуктивная эндокринология combined pathology endometrium myometrium visualization endometrial-myometrial junction |
| title | Archimetra: imaging aspects of combined pathology of the endometrium and myometrium |
| title_full | Archimetra: imaging aspects of combined pathology of the endometrium and myometrium |
| title_fullStr | Archimetra: imaging aspects of combined pathology of the endometrium and myometrium |
| title_full_unstemmed | Archimetra: imaging aspects of combined pathology of the endometrium and myometrium |
| title_short | Archimetra: imaging aspects of combined pathology of the endometrium and myometrium |
| title_sort | archimetra imaging aspects of combined pathology of the endometrium and myometrium |
| topic | combined pathology endometrium myometrium visualization endometrial-myometrial junction |
| url | http://reproduct-endo.com/article/view/276435 |
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