CURRENT IDEAS ON MANAGEMENT TACTICS FOR PATIENTS WITH INFILTRATING ENDOMETRIOSIS


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Objective. To study current ideas on endometriosis. Subject and methods. Articles were sought using the key words: endometriosis, treatment, diagnosis, and pathogenesis in the PUBMED and Russian Science Citation Index databases. Sixty-five papers were selected after the search. Results. The only internationally recognized classification system of the American Society of Reproductive Medicine is widely used in the world. The following stage processes: attachment of endometrial cells to the mesothelial cells; penetration of endometrial cells into the mesothelium; angiogenesis in the endometrioid implants; proliferation of ectopic cells; and process involvement of inflammatory cells maintaining the development of implants are considered as the key components of the pathogenesis of endometriosis. Long-term diagnostic delay and lower quality of life have been found in women with endometriosis. The main techniques for diagnosing endometriosis were ultrasonography, magnetic resonance imaging, colonoscopy, and cystoscopy. Laboratory methods are of additional value. A combined approach involving surgical and medical treatments is a generally recognized tactic. The endometriosis recurrence rate after surgical treatment is 21-40%. Conclusion. In spite of numerous investigations and the considerable social value of the problem, there is no uniform system concept of a multidisciplinary approach to the organization and surgical treatment of patients with disseminated forms of endometriosis.

Негізгі сөздер

Толық мәтін

Рұқсат жабық

Авторлар туралы

Vladimir Chuprynin

Research Center of Obstetrics, Gynecology, and Perinatology

Email: v_chuprynin@oparina4.ru
PhD, Head of the Department of General Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Mikhail Melnikov

Research Center of Obstetrics, Gynecology, and Perinatology

Email: m_melnikov@oparina4.ru
Candidate of Medical Sciences, Senior Researcher, Department of Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Natalya Buralkina

Research Center of Obstetrics, Gynecology, and Perinatology

Email: n_buralkina@oparina4.ru
doctor of Medical Sciences, Senior Researcher, the second gynecological department Moscow 117997, Ac. Oparina str. 4, Russia

Vyacheslav Chursen

Research Center of Obstetrics, Gynecology, and Perinatology

Email: v_chursen@oparina4.ru
doctor surgeon of General Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Aleksandr Veredchenko

Research Center of Obstetrics, Gynecology, and Perinatology

Email: a_veredchenko@oparina4.ru
candidate of medical sciences, doctor surgeon of General Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Polina Burykina

Research Center of Obstetrics, Gynecology, and Perinatology

Email: p_burykina@oparina4.ru
a graduate student, obstetrician-gynecologist at the surgical department Moscow 117997, Ac. Oparina str. 4, Russia

Elena Khilkevich

Research Center of Obstetrics, Gynecology, and Perinatology

Email: e_khilkevich@oparina4.ru
leading researcher of General Surgery Moscow 117997, Ac. Oparina str. 4, Russia

Alexander Gus

Research Center of Obstetrics, Gynecology, and Perinatology

Email: a_gus@oparina4.ru
MD, PhD, Head of the Department of the Ultrasound and Functional Diagnosis Moscow 117997, Ac. Oparina str. 4, Russia

Stanislav Pavlovich

Research Center of Obstetrics, Gynecology, and Perinatology

Email: stpavlovich@mail.ru
MD, PhD, Secretary Moscow 117997, Ac. Oparina str. 4, Russia

Әдебиет тізімі

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