{"paper_id":"d7a66808-f51a-443d-99f1-04360ab8b56b","body_text":"- Role of clinical-anamnestic data in adenomyosis development at the present stage\nRole of clinical-anamnestic data in adenomyosis development at the present stage\nHEALTH OF WOMAN. 2017.4(120):54–56; doi 10.15574/HW.2017.120.54\nPrudnikov P. M.\nNational Medical Academy of Postgraduate Education P. L. Shupyk, Kiev\nThe objective: to study a role of clinical-anamnestic data in development and an adenomyosis current at the present stage.\nPatients and methods. Еxamination of 110 patients, from which 60 – patients with an adenomyosis of different degree of activity and prevalence – the main group was conducted. Depending on degree of expression of the main clinical implications, characteristic for the adenomyosis, all studied patients with an adenomyosis (n=60) conditionally were divided into 2 clinical subgroups: 1.1 – the subgroup was made by 38 patients with clinically \"active\" adenomyosis; 1.2 a subgroup – 22 patients with clinically \"inactive\" adenomyosis. The control group was made by 50 patients of genesial and premenopausa age without adenomyosis\nResults. As a result of the analysis of preliminary diagnoses at pre-hospital stage at patients with an adenomyosis their appreciable heterogeneity was taped. So, from 60 patients at 50% this diagnosis was made correctly, at 18.7% the adenomyosis was mistakenly taken for a hysteromyoma, at 11.7% – for hyperplasia and polyps an endometrium, at 6.7% – for dysfunctional uterine bleedings; at 3.3% – for cystoadenoma an ovary. 10.0% of patients a long time were surveyed and treated at the neuropathologist, the gastroenterologist, the therapist with suspicion on disk hernia, osteochondrosis, colitis, adherent process and so forth\nConclusin. On the basis of clinical-anamnestic yielded and results of gynecologic inspection the adenomyosis was suspected at 48 patients, from them is confirmed – in 28 cases. The share of false positive results made 41%. At the same time from 60 patients with the confirmed adenomyosis, in the clinical diagnosis this pathology was taken out at 31. Thus, the share of false-negative results made 48%. Sensitivity of a method – 51.7%, specificity – 59%. The received results need to be considered at early diagnostics and adenomyosis forecasting.\nKey words: adenomyosis, clinic, anamnesis, diagnostics.\nREFERENCES\n1. Adamjan LV. 2008. Endometrioses: the Management for doctors. М, Medicine:317.\n2. Ajlamazjan EK. 2013. A genital endometriosis: new approaches to therapy: a management for doctors. SPb.:25.\n3. Kohanevich EV. 2008. Pressing questions гинекологии: К, LLC «Book-plus»:161.\n4. Baskakov VP. 2012. Endometrioznaja illness. St.-Petersburg: Open Company «Publishing house N-L»:452.\n5. Bezhenar VF, Povzun SA, Fridman DB. 2012. The analysis of efficiency of ways of reception bioptate for histologic verification adenomyose. Magazine of obstetrics and female deseases:Т LIV.:4:37-39.\n6. Sorokina AV, Totchiev GF, Toktar LR. 2010. Modern approaches to genetic diagnostics adenomyose. Bulletin RUDN. Obstetrics and ginecology 5:181-191.\n7. Radzinsky VE, Sorokina AV, Zhilina NV. 2010. Immunological and genetic determinants adenomyose from a position of demonstrative medicine. Bulletin RUDN: Obstetrics and ginecology 6:138-145.","source_license":"CC0","license_restricted":false}