{"paper_id":"9474e2af-13f9-48d7-9947-214934924ea9","body_text":"Ультразвуковое исследование параметрия у пациенток с глубоким эндометриозом\nhttps://doi.org/10.24835/1607-0771-268\nАннотация\nЭндометриоз параметрия представляет собой тяжелую форму заболевания, связанную с вовлечением в инфильтративный процесс мочеточников и нервов малого таза, что может приводить к нарушениям функций мочевыделительной системы, кишечника и сексуальной дисфункции. Хирургическое вмешательство в таких случаях требует сложного мультидисциплинарного подхода, планирование которого возможно только после детальной предоперационной диагностики. В статье приводится обзор современных международных рекомендаций по ультразвуковой оценке параметрия. Для демонстрации возможностей ультразвукового исследования представлены собственные эхограммы параметрия в норме и при глубоком эндометриозе.\nОб авторах\nС. И. БуряковаРоссия\nБурякова Снежана Игоревна – канд. мед. наук, доцент кафедры ультразвуковой и пренатальной диагностики Академии постдипломного образования ФГБУ ФНКЦ ФМБА России, Москва\nН. А. Алтынник\nРоссия\nАлтынник Наталья Анатольевна – доктор мед. наук, профессор, заведующая кафедрой ультразвуковой и пренатальной диагностики Академии постдипломного образования ФГБУ ФНКЦ ФМБА России, Москва\nА. М. Кабешов\nРоссия\nКабешов Александр Михайлович – хирург Центра хирургии эндометриоза, ООО “Клиника Фомина Мичуринский”, Москва\nСписок литературы\n1. Whitaker L.H.R., Byrne D., Hummelshoj L. et al. Proposal for a new ICD-11 coding classification system for endometriosis. Eur. J. Obstet. Gynecol. Reprod. Biol. 2019; 241: 134–135. http://doi.org/10.1016/j.ejogrb.2019.08.015\n2. Johnson N.P., Hummelshoj L., Adamson G.D. et al. World Endometriosis Society consensus on the classification of endometriosis. Hum. Reprod. 2017; 32 (2): 315–324. http://doi.org/10.1093/humrep/dew293\n3. Zegers-Hochschild F., Adamson G.D., Dyer S. et al. The International Glossary on Infertility and Fertility Care. 2017. Hum. Reprod. 2017; 32 (9): 1786–1801. http://doi.org/10.1093/humrep/dex234\n4. Eskenazi B., Warner M.L. Epidemiology of endometriosis. Obstet. Gynecol. Clin. N. Am. 1997; 24 (2): 235–258. http://doi.org/10.1016/s0889-8545(05)70302-8\n5. Meuleman C., Vandenabeele B., Fieuws S. et al. High prevalence of endometriosis in infertile women with normal ovulation and normospermic partners. Fertil. Steril. 2009; 92 (1): 68–74. http://doi.org/10.1016/j.fertnstert.2008.04.056\n6. Becker C.M., Bokor A., Heikinheimo O. et al. ESHRE guideline: endometriosis. Hum. Reprod. Open. 2022; 2022 (2): hoac009. Published 2022 Feb 26. http://doi.org/10.1093/hropen/hoac009.\n7. Guerriero S., Condous G., van den Bosch T. et al. Systematic approach to sonographic evaluation of the pelvis in women with suspected endometriosis, including terms, definitions and measurements: a consensus opinion from the International Deep Endometriosis Analysis (IDEA) group. Ultrasound Obstet. Gynecol. 2016; 48 (3): 318–332. http://doi.org/10.1002/uog.15955\n8. Guerriero S., Martinez L., Gomez I. et al. Diagnostic accuracy of transvaginal sonography for detecting parametrial involvement in women with deep endometriosis: systematic review and meta-analysis. Ultrasound Obstet. Gynecol. 2021; 58 (5): 669–676. http://doi.org/10.1002/uog.23754\n9. Mabrouk M., Raimondo D., Arena A. et al. Parametrial Endometriosis: The Occult Condition that Makes the Hard Harder. J. Minim. Invasive Gynecol. 2019; 26 (5): 871–876. http://doi.org/10.1016/j.jmig.2018.08.022\n10. Ceccaroni M., Clarizia R., Roviglione G. 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Gynecol. 1964; 90: 460–467. http://doi.org/10.1016/0002-9378(64)90802-6\n23. Dunselman G.A., Vermeulen N., Becker C. et al. ESHRE guideline: management of women with endometriosis. Hum. Reprod. 2014; 29 (3): 400–412. http://doi.org/10.1093/humrep/det457\n24. Yabuki Y., Sasaki H., Hatakeyama N., Murakami G. Discrepancies between classic anatomy and modern gynecologic surgery on pelvic connective tissue structure: harmonization of those concepts by collaborative cadaver dissection. Am. J. Obstet. Gynecol. 2005; 193 (1): 7–15. http://doi.org/10.1016/j.ajog.2005.02.108\n25. Dalley A.F., Agur A.M.R. Neurovascular Structures of Gluteal and Posterior Thigh Regions. In Moore's Clinically Oriented Anatomy (9th ed.). Philadephia, PA: Lippincott Williams & Wilkins, 2022: 741–746.\n26. Di Giovanni A., Casarella L., Coppola M. et al. Ultrasound Evaluation of Retrocervical and Parametrial Deep Endometriosis on the Basis of Surgical Anatomic Landmarks. J. Minim. Invasive Gynecol. 2022; 29 (10): 1140–1148. http://doi.org/10.1016/j.jmig.2022.06.014\n27. Ceccaroni M., Zorzi C., Albanese M. et al. Why to Use an Old Map to Explore a New World? The Time for Considering an Ultrasonographic Parametrial Topography Has Come. J. Minim. Invasive Gynecol. 2023; 30 (4): 271–276. http://doi.org/10.1016/j.jmig.2022.12.016\n28. Exacoustos C., Malzoni M., Di Giovanni A. et al. Ultrasound mapping system for the surgical management of deep infiltrating endometriosis. Fertil. Steril. 2014; 102 (1): 143–150.e2. http://doi.org/10.1016/j.fertnstert.2014.03.043\n29. Mariani L.L., Mancarella M., Novara L., Biglia N. Sonographic features of endometriosis infiltrating the lateral parametrium. J. Gynecol. Obstet. Hum. Reprod. 2021; 50 (7): 102116. http://doi.org/10.1016/j.jogoh.2021.102116\n30. Keckstein J., Saridogan E., Ulrich U.A. et al. The #Enzian classification: A comprehensive non-invasive and surgical description system for endometriosis. Acta Obstet. Gynecol. Scand. 2021; 100 (7): 1165–1175. http://doi.org/10.1111/aogs.14099\n31. Leonardi M., Martins W.P., Espada M. et al. Proposed technique to visualize and classify uterosacral ligament deep endometriosis with and without infiltration into parametrium or torus uterinus. Ultrasound Obstet. Gynecol. 2020; 55 (1): 137–139. http://doi.org/10.1002/uog.20300\n32. Szabó G., Madár I., Hudelist G. et al. Visualization of sacral nerve roots and sacral plexus on gynecological transvaginal ultrasound: feasibility study. Ultrasound Obstet. Gynecol. 2023; 62 (2): 290–299. http://doi.org/10.1002/uog.26204\nРецензия\nДля цитирования:\nБурякова С.И., Алтынник Н.А., Кабешов А.М. Ультразвуковое исследование параметрия у пациенток с глубоким эндометриозом. Ультразвуковая и функциональная диагностика. 2024;(2):91-100. https://doi.org/10.24835/1607-0771-268\nFor citation:\nBuryakova S.I., Altynnik N.A., Kabeshov A.M. Parametrium ultrasound in patients with deep endometriosis. Ultrasound & Functional Diagnostics. 2024;(2):91-100. (In Russ.) https://doi.org/10.24835/1607-0771-268\nJATS XML","source_license":"CC0","license_restricted":false}