Optimization of ultrasonic diagnosis of delayed uterine development in girls

Abstract

Aim. To improve the ultrasonic methods of diagnostics in revealing the delayed uterine development in prepubertal and pubertal girls. Materials and methods. Subjects were divided into 4 groups according to their age. Group I included girls of nursery age (11.4 %), Group II included girls of preschool age (17.2 %), Group III included girls of primary school age (34.3 %), and Group IV included girls of high school age (37.1 %). We used the transabdominal method to scan the pelvic organs. The study was performed with a 5.0-7.0 MHz linear and convex transducer. Results and discussion. In the first group, the uterus could not be visualized in 2 (25.0 %) girls, and in the remaining 6 (75.0 %) girls the uterus was age normal. During this period, the uterus is located high, at the border of the abdomen and small pelvis, the uterus varies between 20-50 mm in length, 8-15 mm in thickness, and 10-20 mm in width, and has a cylindrical or drop-shaped shape with predominant cervical size. The myometrium is defined as a tissue of homogeneous structure, and reduced echogenicity, there is no image of the endometrium. Conclusions. Ultrasonography makes it possible to diagnose clinically undetectable structural changes in the internal genitalia on time.