UTERINE AND VAGINAL MALFORMATIONS CONCURRENT WITH ENDOMETRIOSIS: MANAGEMENT TACTICS AND SURGICAL CORRECTION
- 作者: Farkhat K.N.1, Adamyan L.V.1,2
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隶属关系:
- Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
- Moscow State University of Medicine and Dentistry
- 期: 编号 5 (2016)
- 页面: 96-103
- 栏目: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247672
- ID: 247672
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详细
Objective. To optimize the results of surgical treatment and rehabilitation in patients with congenital uterine and vaginal malformations concurrent with external genital endometriosis. Subjects and methods. A total of 198 patients with uterine and vaginal abnormalities were operated on at the Department of Operative Gynecology, V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, in 2013 to 2015. According to the presence or absence of foci of external genital endometriosis, two groups were formed: 1) 105 patients with uterine and vaginal abnormalities and concurrent external genital endometriosis; 2) 93 patients with uterine and vaginal abnormalities without concurrent endometriosis. Results. The indicators for surgical treatment were primary infertility (41.5%), secondary infertility (18.6%), recurrent miscarriage (26.2%), dysmenorrhea (45.4%), menorrhagia (23.2%), pain syndrome (17.2%), and dyspareunia (8.1 %). The rate of external genital endometriosis was 53.0%. No significant differences were found in the rate of endometriosis between the patients with and without menstrual blood outflow. Conclusion. The implantation theory cannot explain all cases of endometriosis developed in patients with uterine and vaginal defects. Consequently, all pathogenetic mechanisms should be borne in mind when studying the possible ways how endometriosis develops in congenital anomalies of the female genitalia.
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作者简介
Kristina Farkhat
Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of RussiaPhD student Moscow 117997, Ac. Oparina str. 4, Russia
Leila Adamyan
Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; Moscow State University of Medicine and DentistryAcademician of the (RAMS), MD, PhD, Professor, Honored Master of Science of the Russian Federation, Head Specialist in Obstetrics and Gynecology of Ministry of Health of Russia, Head of the Department of Surgical Gynecology; Head of the Department of Reproductive Medicine and Surgery, Faculty of Postgraduate Education Moscow 117997, Ac. Oparina str. 4, Russia
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