The comparative assessment ofcentral hemodynamics indexes changes in hysteroresectoscopy and endometrial thermoablation

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Abstract

Introduction. Traditional treatment tactics in patients with endometrial hyperplasia provides the hormonal therapy during 3 months with following histological investigation of total mucoid scrape. Surgical operation is used if there are no clinical or/and morphological effects.

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Introduction. Traditional treatment tactics in patients with endometrial hyperplasia provides the hormonal therapy during 3 months with following histological investigation of total mucoid scrape. Surgical operation is used if there are no clinical or/and morphological effects.

Methods & Results. Hysteroscopy first of all was a diagnostic method. It is an optimal surgical method of treatment of intrauterine pathology. For a long time transcervical endoscopy manipulations were presented by mini-invasive procedures, such as intrauterine contraceptive extraction, dissection of synechia, biopsy under visual control. The problems of intraoperative bleeding and uterine dilation constrained the following development the intrauterine manipulations.

In our endoscopy department we studied the changes of central hemodynamics in patients with hyperplasia during hysteroresectoscopy and thermoablation. Stroke volumes, minute volume, middle dynamic pressure, total peripheral resistance, ventricle work were studied in the investigation. All groups of patients were comparable in age, somatic and genital status.

Conclusions. This research revealed more favorable condition of central hemodynamics in patients with hyperplasia during thermoablation in comparison with hysteroresectoscopy.

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About the authors

A. A. Popov

Dp. Endoscopy Moscow Reg. Research Institute

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

N. М. Mazurskaya

Dp. Endoscopy Moscow Reg. Research Institute

Email: info@eco-vector.com
Russian Federation, Moscow

T. N. Manannikova

Dp. Endoscopy Moscow Reg. Research Institute

Email: info@eco-vector.com
Russian Federation, Moscow

N. А. Chausova

Dp. Endoscopy Moscow Reg. Research Institute

Email: info@eco-vector.com
Russian Federation, Moscow

Y. V. Zemskov

Dp. Endoscopy Moscow Reg. Research Institute

Email: info@eco-vector.com
Russian Federation, Moscow

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия Эл № 77 - 6389
от 15.07.2002 г.



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