SIGNIFICANCE OF HYSTEROCOCOPY IN DIAGNOSIS OF ADENOMYOSIS

In: Scientific digest of association of obstetricians and gynecologists of Ukraine · 2018 · vol. 0(2(42)) , pp. 96–99 · doi:10.35278/2664-0767.2(42).2018.173359 · W2994638957
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Abstract

Of particular relevance is the use of intrauterine devices under the control of hysteroscopy for the diagnosis of adenomyosis in the early stages of the disease.The purpose of the study: to improve the diagnosis of adenomyosis through the use of hysteroscopy and sight biopsy.Materials and methods of the study: 36 women aged 28 to 53 years participated in the study, who performed hysteroscopic surgical intervention with subsequent morphological studies.Results of the study and their discussion: during the histological study of the material taken for this scientific study, adenomyosis was confirmed in 23 (63.9%) cases, which is more than 2 times in comparison with the results of the first stage of the operation (directly indications for surgical intervention), which is explained by the deeper biological harvesting material, namely the aim biopsy myometrium. Pathological conditions of the uterine mucus with the help of hysteroscopy are diagnosed more precisely than adenomyosis, to improve the diagnosis of which, it is necessary to carry out a hysteroscopy with biopsy myometrium.Conclusion: In order to improve the efficiency of adenomyosis diagnosis and conduct differential diagnosis with pathological changes in endometrium, it is necessary to use hysteroscopy with aim biopsy myometrium.

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