New possibilities of ultrasound diagnostics and modern strategy of drug therapy for adenomyosis


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Background. Currently, despite the wide possibilities for diagnosing adenomyosis, each method has its limitations and cannot be offered for a non-invasive, accurate, non-subjective diagnosis of the disease. Ultrasound examination according to the standard technique also does not have strict and unambiguous criteria for assessing the severity of internal endometriosis. The complex method proposed by us for performing ultrasound with assessment of the transition zone, vascularization and elastography, with a consistent assessment of all criteria by points, allows to unify ultrasound criteria and create uniform standards for consistent diagnosis of the disease. Description of the clinical case. The clinical case of a patient with adenomyosis presented in the article clearly demonstrates the diagnosis using the proposed ultrasound method before and 6 months after treatment, justifies the choice of drug therapy using dienogest 2 mg with positive dynamics. Conclusion. Thus, an objective diagnosis and determination of adenomyosis severity based on the new combined method of ultrasound assessment developed by us, the appointment of pathogenetically substantiated and effective drug therapy, as well as an individual approach, can eliminate the clinical manifestations of the disease, increase fertility and improve pregnancy outcomes.

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作者简介

M. Yarmolinskaya

D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology; North-Western State Medical University named after N.N. I.I. Mechnikov

Email: m.yarmolinskaya@gmail.com
St. Petersburg, Russia

M. Shalina

D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology

St. Petersburg, Russia

S. Nagorneva

D.O. Ott Research Institute of Obstetrics, Gynecology and Reproductology; Sestroretsk Multidisciplinary Clinic

St. Petersburg, Russia; Sestroretsk, Russia

参考

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