МЕДИКО-СОЦИАЛЬНЫЙ ПОРТРЕТ ПАЦИЕНТОК С ЭНДОМЕТРИОЗОМ

Abstract

Aim. To study the medical-social profile of patients with endometriosis. Materials and Methods. Life-history based study included 97 women who had undergone laparoscopic surgery and had histologically confirmed endometriosis for the period from May 2015 till March 2016. Among them 21.5% had small endometriosis lesions, 54.5% – cystic ovarian endometriosis, 8.5% – retrocervical endometriosis, and 15.5% – adenomyosis. Results. Mean age of the investigated group was 32 ± 6.7. Minimum and maximum values were 18 and 45, respectively. According to occupational history, 74.5% of patients were engaged in the intellectual work, 6% – in physical work, 16.5% were unemployed, and 3% were students. The majority of patients were city-dwellers. Somatic pathology assessment revealed that 40.2% of women had chronic gastrointestinal diseases (gastritis, colitis, cholecystitis). 9.3% of patients suffered from chronic pyelonephritis or chronic cystitis. ENT diseases (chronic tonsillitis, chronic maxillary sinusitis) were observed in 8.9%. The cardiovascular pathology was observed in 6.2% (hypertensive disease). The respiratory disorders were reported by 4.1% of patients (chronic bronchitis, asthma). The analysis of genital system pathology showed that 56.7% of patients had inflammatory diseases of pelvic organs. 64% of women from the investigated group were subjected to STD testing. One in five patients had chlamydiae, ureaplasma, or HPV. Cervical pathology was observed in 37.1% of patients (cervical ectopy, cervicitis). Hyperplastic processes occurred in 17.5% (13.4% – endometrial polyp, 5.2% - cervical canal polyp, 5.2% - endometrial glandular hyperplasia). Uterine myoma was observed in 20.6%. Ovarian tumors were observed in 12.4%. Polycystic ovarian syndrome was observed in 5.2% of women. Conclusion. Study of the medical-social profile of patients with endometriosis has revealed that this disease is most frequently observed in women of childbearing age. External genital endometriosis is likely to prevail in early childbearing age (19–35), meanwhile adenomyosis is more often observed in late childbearing age (36–45). This disease is typical of city-dwelling women engaged in intellectual work. The main symptoms are reproductive disorders (infertility) and pain syndrome affecting the quality of life. Endometriosis is seldom detected by non-invasive diagnostic methods, which means that it is necessary to develop new informative methods in order to confirm the disease.