Features of reproductive function of women are after a conservative myomectomy

Abstract

DOI: 10.52705/2788-6190-2024-04.2-10
УДК 618.14-006.36

The objective: a study of features of reproductive function of patients is after a conservative myomectomy.
Materials and methods. By us 100 patients of reproductive age were inspected with a uterine leiomyoma middle age of which made 35,7 ± 3,7 years. To the complex of the conducted researches clinical, laboratory instrumental, morphological and statistical methods were included.
Results. At the analysis of gynaecological pathology after a myomectomy the special attention was spared to the exposure of relapses of disease. All for 5 years we are diagnose 15,0% cases of uterine fibroids after its operative treatment. The most frequent exposure of relapse took place in 1–2 years after an operation (10 from 15). Any connection with an amount and sizes of remote sites and them by new appearance discovered by us it was not. As known, myoma is often combined with other of benign processes of uterus and appendages. So the hyperplastic process of endometrium was marked in 8,0% patients for looked after period of time and statistically did not differ from this index to the conduct of myomectomy. More frequent all this pathology also met in a period from 1 year to 2 years (6 from 8). In all cases executed hysteroscopy. In 6,0% during procedure estimated the states of scar after a myomectomy with the section of cavity of uterus. In 4,0% he was visualized as a linear whitish area. In 2,0% finding out the signs of scar tissue was not succeeded. In all cases the diagnosis of hyperplasia of endometrium was confirmed histological. In future
progestational preparations were appointed during 3-12 months.
Conclusions. The conducted analysis was rotined by positive influence to the myomectomy on normalization of reproductive function of women with a hysteromyoma. Conduct of operation allowed to be delivered from basic complaints in most patients. Thus it is not discovered by us to influence of operation on gynaecological morbidity, but an amount of relapses is insignificant.