A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding
The purpose: to justify a differentiated approach to the management of patients with hyperplastic uterine diseases complicated by abnormal uterine bleeding (AUB) based on the study of the morpho-functional features of the endo- and myometrium. It has been shown that PgR expression is low in patient...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Kazimierz Wielki University
2023-05-01
|
Series: | Journal of Education, Health and Sport |
Subjects: | |
Online Access: | https://apcz.umk.pl/JEHS/article/view/46366 |
_version_ | 1827797111869014016 |
---|---|
author | I. Lomakina N. Rozhkovska V. Sytnikova S. Syviy |
author_facet | I. Lomakina N. Rozhkovska V. Sytnikova S. Syviy |
author_sort | I. Lomakina |
collection | DOAJ |
description |
The purpose: to justify a differentiated approach to the management of patients with hyperplastic uterine diseases complicated by abnormal uterine bleeding (AUB) based on the study of the morpho-functional features of the endo- and myometrium. It has been shown that PgR expression is low in patients with combined lesions of the endometrium and myometrium complicated by AMC. The degree of PgR expression has a strong negative correlation with pathological changes of the endometrial-myometrial junction (r=-0.71), which made it possible to consider these criteria in the creation of a differentiated algorithm for the management of patients taking into account clinical and morphological pathogenetic variants of the disease. The use of differentiated approaches to the treatment of patients with combined hyperplastic processes of the uterus, taking into account the clinical and morphological features of the disease, made it possible to reduce the number of recurrences of AMC and achieve a long-term clinical effect in comparison with traditional treatment.
|
first_indexed | 2024-03-11T19:17:43Z |
format | Article |
id | doaj.art-f4b142ccdf894a609f28df8683eae894 |
institution | Directory Open Access Journal |
issn | 2391-8306 |
language | English |
last_indexed | 2024-03-11T19:17:43Z |
publishDate | 2023-05-01 |
publisher | Kazimierz Wielki University |
record_format | Article |
series | Journal of Education, Health and Sport |
spelling | doaj.art-f4b142ccdf894a609f28df8683eae8942023-10-08T10:49:42ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-05-0113510.12775/JEHS.2023.13.05.022A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleedingI. Lomakina0N. Rozhkovska1V. Sytnikova2S. Syviy3Odessa National Medical UniversityOdesa National Medical UniversityOdesa National Medical UniversityOdesa National Medical University The purpose: to justify a differentiated approach to the management of patients with hyperplastic uterine diseases complicated by abnormal uterine bleeding (AUB) based on the study of the morpho-functional features of the endo- and myometrium. It has been shown that PgR expression is low in patients with combined lesions of the endometrium and myometrium complicated by AMC. The degree of PgR expression has a strong negative correlation with pathological changes of the endometrial-myometrial junction (r=-0.71), which made it possible to consider these criteria in the creation of a differentiated algorithm for the management of patients taking into account clinical and morphological pathogenetic variants of the disease. The use of differentiated approaches to the treatment of patients with combined hyperplastic processes of the uterus, taking into account the clinical and morphological features of the disease, made it possible to reduce the number of recurrences of AMC and achieve a long-term clinical effect in comparison with traditional treatment. https://apcz.umk.pl/JEHS/article/view/46366endometrial hyperplasiauterine myomaadenomyosismenstrual dysfunctionabnormal uterine bleedingdiagnosis |
spellingShingle | I. Lomakina N. Rozhkovska V. Sytnikova S. Syviy A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding Journal of Education, Health and Sport endometrial hyperplasia uterine myoma adenomyosis menstrual dysfunction abnormal uterine bleeding diagnosis |
title | A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding |
title_full | A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding |
title_fullStr | A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding |
title_full_unstemmed | A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding |
title_short | A differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding |
title_sort | differentiated approach to the management of patients with hyperplastic diseases of the uterus complicated by abnormal uterine bleeding |
topic | endometrial hyperplasia uterine myoma adenomyosis menstrual dysfunction abnormal uterine bleeding diagnosis |
url | https://apcz.umk.pl/JEHS/article/view/46366 |
work_keys_str_mv | AT ilomakina adifferentiatedapproachtothemanagementofpatientswithhyperplasticdiseasesoftheuteruscomplicatedbyabnormaluterinebleeding AT nrozhkovska adifferentiatedapproachtothemanagementofpatientswithhyperplasticdiseasesoftheuteruscomplicatedbyabnormaluterinebleeding AT vsytnikova adifferentiatedapproachtothemanagementofpatientswithhyperplasticdiseasesoftheuteruscomplicatedbyabnormaluterinebleeding AT ssyviy adifferentiatedapproachtothemanagementofpatientswithhyperplasticdiseasesoftheuteruscomplicatedbyabnormaluterinebleeding AT ilomakina differentiatedapproachtothemanagementofpatientswithhyperplasticdiseasesoftheuteruscomplicatedbyabnormaluterinebleeding AT nrozhkovska differentiatedapproachtothemanagementofpatientswithhyperplasticdiseasesoftheuteruscomplicatedbyabnormaluterinebleeding AT vsytnikova differentiatedapproachtothemanagementofpatientswithhyperplasticdiseasesoftheuteruscomplicatedbyabnormaluterinebleeding AT ssyviy differentiatedapproachtothemanagementofpatientswithhyperplasticdiseasesoftheuteruscomplicatedbyabnormaluterinebleeding |