Стан маткового кровотоку при гіперплазії ендометрія у жінок у репродуктивний період

Abstract

The objective: to assess the state of uterine blood flow in endometrial hyperplasia in women of reproductive period. Patients and methods. 130 patients (n=100 – the main group; n=30 – control group) aged 18-49 years with endometrial hyperplasia were examined. All the women underwent 2D transvaginal echography and color Doppler mapping. The angle-independent indices (pulsatility index, resistivity index, diastolic/systolic ratio) of blood flow were determined in the uterine, arcuate, radial, basal and spiral arteries. Results. There was no significant difference in the indices of blood flow of the right uterine artery, arcuate, radial, basal arteries among patients and control group. Among women with endometrial hyperplasia pulsatility index of the left uterine artery amounted to – 2.11, resistivity index – 0.88, and the diastolic/systolic ratio – 5.45, in women of the control group – 2.34, 1.01 and 7.50, respectively. Only among patients with endometrial hyperplastic process was registered blood flow in the spiral arteries. Conclusion. The use of color Doppler mapping is appropriate, because registration of intraendometrial blood flow allows an endometrial hyperplastic process to be diagnosed with a high degree of confidence. Key words: endometrial hyperplasia, reproductive period, color Doppler mapping, intraendometrial blood flow, pulsatility index, resistivity index, diastolic/systolic ratio.