Значимость эхографии и допплерографии в диагностике аденомиоза

The purpose of this study was to evaluate the significance of ultrasonography and Doppler ultrasonography in the diagnosis of adenomyosis. For this purpose, 59 women were examined. From which, 49 had adenomyosis. The first group included 15 patients with I degree adenomyosis. In the 2nd group of 34 patients with adenomyosis II-III degree. The 3 (control) group consisted of 10 healthy women. Patients were conducted echographic, Doppler, hysteroscopic examination, as well as performed a needle biopsy of the myometrium. These patients were compared to data of non-invasive (ultrasound, Doppler with CSC) and invasive (hysteroscopy with needle biopsy) diagnostic methods with those of the postoperative histological examination material. The results suggest that the information content of the echographic diagnosis of adenomyosis is dependent on the extent of the myometrium, adenomyosishysteroscopic picture depends on the extent of the myometrium, and the combination of different hyperplastic diseases of the endometrium. The Doppler data showed that in patients with first degree adenomyosis, compared with healthy women the numerical value of the resistance index (RI) in uterine blood flow had significantly lower, and in patients with adenomyosis II-III degree with highly experienced blood flow in the uterine arteries, and in myometrial vessels. The diagnostic information content of biopsy did not exceed those in the ultrasound and Doppler.