The capabilities of ultrasound study in the diagnosis of inflammatory diseases in women with chronic pelvic pain

The objective: аn ultrasound study and analysis of the main echographic signs of inflammatory diseases of the uterus and adnexa in women with chronic pelvic pain. Patients and methods. Echographic examination of organs of small pelvis in 3D-mode was performed in 41 women, of which 25 (61.0%) patients with suspected inflammatory process of uterine appendages (oophoritis, salpingitis, tubo-ovarian education), 6 (14.6%) – inflammation of the uterus (endometritis) and 10 (24.4%) – inflammation of the cervix. Results. Found that in inflammatory diseases of the uterine appendages, in addition to the specific sonographic features, there is a common ultrasound markers of this process in the pelvis. These include pain in the study, the presence of fluid in the pelvic cavity, small, often moving hyperechoic inclusions with acoustic phenomenon, as well as peritoneal adhesions detected on the background fluid. Conclusions. For patients with endometritis was characterized by a heterogeneous structure of the endometrium, which is the presence of multiple mixed anechoic and hypoechoic inclusions, with a clear outline and the lack of it. For patients with endocervicitis was characterized by a heterogeneous structure of the mucosa, which was in the plural mixed anechoic and hypoechoic inclusions, having a clear contour. Key words: inflammatory diseases of the pelvic organs, pelvic pain, ultrasound.