ULTRASOUND EXAMINATION POSSIBILITIES IN ADENOMYOSIS DIAGNOSTICS IN PATIENTS WITH REPRODUCTIVE LOSS
Aim. The research was designed to study the possibilities of ultrasound examination with Color Doppler imaging (CDI) and three-dimensional volumetric reconstruction (3D) in the diagnostics of adenomyosis of minimal prevalence in patients with unspecified infertility and reproductive losses at the ea...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Ministry of Healthcare of the Russian Federation. “Kuban State Medical University”
2018-12-01
|
| Series: | Кубанский научный медицинский вестник |
| Subjects: | |
| Online Access: | https://ksma.elpub.ru/jour/article/view/1494 |
| _version_ | 1797295409120411648 |
|---|---|
| author | A. V. Pomortsev T. B. Makuhina Y. V. Grushevskaya |
| author_facet | A. V. Pomortsev T. B. Makuhina Y. V. Grushevskaya |
| author_sort | A. V. Pomortsev |
| collection | DOAJ |
| description | Aim. The research was designed to study the possibilities of ultrasound examination with Color Doppler imaging (CDI) and three-dimensional volumetric reconstruction (3D) in the diagnostics of adenomyosis of minimal prevalence in patients with unspecified infertility and reproductive losses at the early stages of gestation. Materials and methods. 40 patients with unspecified infertility and early pregnancy loss (the main group) and 35 healthy patients (the control group) were examined in the course of the study. All patients underwent small pelvic ultrasound in В / CDI / 3D-modes with an assessment of the junctional zone (JZ) on days 5-7 and 18-22 of the menstrual cycle (MC).Results. In the main group, there was a discrepancy between the structure of the endometrium and the phase of the cycle at 5-7 days of the MC, a decrease in vascularization of the JZ at 18-22 days of the MC, a local increase in blood flow in the endometrium in phases 1 and 2 of the MC; the fuzziness of the junctional zone, an increase in min and max thickness of the junctional zone, the difference between them, as well as the ratio of max thickness of the junctional zone to the thickness of the uterus wall regardless of the phase of the MC (p = 0.005; 0.0001; 0.005; 0.03; 0.0004; 0, 0001; 0.0001; 0.0001; 0.0001 respectively).Conclusion. Ultrasonography with the CDI and 3D reconstruction allows us to identify a high-risk group by the presence of a minimal prevalence of adenomyosis in the patients with unspecified infertility and reproductive losses at the early stages of gestation. |
| first_indexed | 2024-03-07T21:48:31Z |
| format | Article |
| id | doaj.art-714e717a77fc4ed48125e8f80b13dec4 |
| institution | Directory Open Access Journal |
| issn | 1608-6228 2541-9544 |
| language | Russian |
| last_indexed | 2024-03-07T21:48:31Z |
| publishDate | 2018-12-01 |
| publisher | Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” |
| record_format | Article |
| series | Кубанский научный медицинский вестник |
| spelling | doaj.art-714e717a77fc4ed48125e8f80b13dec42024-02-25T10:57:23ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442018-12-0125614214810.25207/1608-6228-2018-25-6-142-1481044ULTRASOUND EXAMINATION POSSIBILITIES IN ADENOMYOSIS DIAGNOSTICS IN PATIENTS WITH REPRODUCTIVE LOSSA. V. Pomortsev0T. B. Makuhina1Y. V. Grushevskaya2Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation.Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation.Federal State Budgetary Educational Institution of Higher Education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation.Aim. The research was designed to study the possibilities of ultrasound examination with Color Doppler imaging (CDI) and three-dimensional volumetric reconstruction (3D) in the diagnostics of adenomyosis of minimal prevalence in patients with unspecified infertility and reproductive losses at the early stages of gestation. Materials and methods. 40 patients with unspecified infertility and early pregnancy loss (the main group) and 35 healthy patients (the control group) were examined in the course of the study. All patients underwent small pelvic ultrasound in В / CDI / 3D-modes with an assessment of the junctional zone (JZ) on days 5-7 and 18-22 of the menstrual cycle (MC).Results. In the main group, there was a discrepancy between the structure of the endometrium and the phase of the cycle at 5-7 days of the MC, a decrease in vascularization of the JZ at 18-22 days of the MC, a local increase in blood flow in the endometrium in phases 1 and 2 of the MC; the fuzziness of the junctional zone, an increase in min and max thickness of the junctional zone, the difference between them, as well as the ratio of max thickness of the junctional zone to the thickness of the uterus wall regardless of the phase of the MC (p = 0.005; 0.0001; 0.005; 0.03; 0.0004; 0, 0001; 0.0001; 0.0001; 0.0001 respectively).Conclusion. Ultrasonography with the CDI and 3D reconstruction allows us to identify a high-risk group by the presence of a minimal prevalence of adenomyosis in the patients with unspecified infertility and reproductive losses at the early stages of gestation.https://ksma.elpub.ru/jour/article/view/1494adenomyosisjunctional zone3d-ultrasonographycolor doppler |
| spellingShingle | A. V. Pomortsev T. B. Makuhina Y. V. Grushevskaya ULTRASOUND EXAMINATION POSSIBILITIES IN ADENOMYOSIS DIAGNOSTICS IN PATIENTS WITH REPRODUCTIVE LOSS Кубанский научный медицинский вестник adenomyosis junctional zone 3d-ultrasonography color doppler |
| title | ULTRASOUND EXAMINATION POSSIBILITIES IN ADENOMYOSIS DIAGNOSTICS IN PATIENTS WITH REPRODUCTIVE LOSS |
| title_full | ULTRASOUND EXAMINATION POSSIBILITIES IN ADENOMYOSIS DIAGNOSTICS IN PATIENTS WITH REPRODUCTIVE LOSS |
| title_fullStr | ULTRASOUND EXAMINATION POSSIBILITIES IN ADENOMYOSIS DIAGNOSTICS IN PATIENTS WITH REPRODUCTIVE LOSS |
| title_full_unstemmed | ULTRASOUND EXAMINATION POSSIBILITIES IN ADENOMYOSIS DIAGNOSTICS IN PATIENTS WITH REPRODUCTIVE LOSS |
| title_short | ULTRASOUND EXAMINATION POSSIBILITIES IN ADENOMYOSIS DIAGNOSTICS IN PATIENTS WITH REPRODUCTIVE LOSS |
| title_sort | ultrasound examination possibilities in adenomyosis diagnostics in patients with reproductive loss |
| topic | adenomyosis junctional zone 3d-ultrasonography color doppler |
| url | https://ksma.elpub.ru/jour/article/view/1494 |
| work_keys_str_mv | AT avpomortsev ultrasoundexaminationpossibilitiesinadenomyosisdiagnosticsinpatientswithreproductiveloss AT tbmakuhina ultrasoundexaminationpossibilitiesinadenomyosisdiagnosticsinpatientswithreproductiveloss AT yvgrushevskaya ultrasoundexaminationpossibilitiesinadenomyosisdiagnosticsinpatientswithreproductiveloss |