Email this article Diagnostic abilities of hysteroscopy in patients with chronic endometritis
- Authors: Shurshalina A.V.1, Korneeva I.E.1, Feoktistov А.А.1
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Affiliations:
- Research Center for Obstetrics, Gynecology & Perinatology, Russian Academy of Medical Science
- Issue: Vol 54, No 5S (2005)
- Pages: 95-95
- Section: Reviews
- URL: https://journals.eco-vector.com/jowd/article/view/87588
- DOI: https://doi.org/10.17816/JOWD87588
- ID: 87588
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Abstract
Hysteroscopy is an important diagnostic method in the gynecology practice. The visualization of the uterus cavity can detect a lot of abnormal changes, value the prevalence of the pathology process and eliminate of the abnormal tissues.
Full Text
Hysteroscopy is an important diagnostic method in the gynecology practice. The visualization of the uterus cavity can detect a lot of abnormal changes, value the prevalence of the pathology process and eliminate of the abnormal tissues.
Object. Detection of the diagnostic value of hysteroscopy in patients with chronic endometritis.
Methods: retrospective analysis of complete medical histories of women with chronic endometritis.
Results. 780 hysteroscopies were performed in 842 patients with following morphology verification of chronic endometritis. Hysteroscopy conclusion as chronic endometritis was absolutely correct only in 32,9% cases. The main signs of inflammation were irregularly mucous thickness (31%), irregularly coloring (22%), polypus formations (31,2%), hyperemia (12,8%), focal extravasations (8%) and hyperplasia (8%). Endometriosis was detected in 5,5% cases, IUD in 3,5%, remains of bone fragments in 0,6%, intrauterine adhesions in 12%, cervical polyps in 1,8%, malformations in 2%. Endometrial polyps were detected in 31,2% cases however morphology confirmed only in 15,5%. Normal mucous was determined by hysteroscopy in 23,3% cases. Hysteroscopy picture demonstrated abnonnal mucous changes (polyps, intrauterine adhesions, hyperplasia) without inflammatory signs in 43,8% cases.
Conclusion. The problem of hysteroscopy interpretation of endometrium inflammatory was associated with atypical signs of pathology associated with continuance, etiology and severity of process. In general, hysteroscopy is an important component of diagnostic algorithm that allows educing intrauterine pathology; nevertheless in all cases the morphological confirmation of diagnosis is necessary.
About the authors
A. V. Shurshalina
Research Center for Obstetrics, Gynecology & Perinatology, Russian Academy of Medical Science
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow
I. E. Korneeva
Research Center for Obstetrics, Gynecology & Perinatology, Russian Academy of Medical Science
Email: info@eco-vector.com
Russian Federation, Moscow
А. А. Feoktistov
Research Center for Obstetrics, Gynecology & Perinatology, Russian Academy of Medical Science
Email: info@eco-vector.com
Russian Federation, Moscow
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