Clinical­and­anamnestic features for women with the functional ovarian cysts

Abstract

DOI: 10.52705/2788-6190-2025-01.1-16
УДК 618.11-006.2-008-07-039

Research purpose. To learn clinical-and-anamnestic features for women with the functional ovarian cysts.
Materials and methods. The complex is conducted clinical-and-laboratory and instrumental inspection 50 women with the functional ovarian cysts.
Results. The sickliness of lower departments of stomach at superficial or deep palpation met in 27 (54%) women. Positive peritoneal symptoms are diagnosed in 9 (18%) patients and always accompanied the complicated motion. Concomitant gynaecological diseases as pathology of cervix at a review in mirrors and as a result of cytology discovered in 19 (38%) women. Identically often there were background processes as an ectopia of cylinder epithelium (in 8 women - 16%), cervicitis and endocervicitis (in 7 women - 14%). At bimanual research, in swingeing majority of cases (for 42 women - 84%), an uterus had normal sizes, the increase of uterine appendages is marked in 72% patients. By volume educations had the rounded form, elastic consistency, different degree of sickliness and mobility. Sickliness and overhanding of back report and sickly traction for the cervix took place in 8 (16%) women at the complicated motion.
Conclusion. At clinical-and-laboratory research of patients with the functional ovarian cysts found out next features. The functional ovarian cysts meet mainly in young reproductive age (18-35 years). In anamnesis many patients have pointing on the inflammatory diseases of genital tract. High-frequency of artifical and spontaneous abortions, pathology of cervix. The basic clinical displays of disease is a pain syndrome, violation of menstrual and reproductive function. Certificate to hospitalization of patients with follicle cysts in most cases related to infertility. In most patients to avoid operative treatment of ovarian cysts is not possible. Clinical motion of ovarian cysts is complicated as an abdominal syndrome or clinic of «acute abdomen», conditioned mainly by a hemorrhage in the cavity of cyst or break of capsule of cyst, more frequent observed at the cysts of yellow body, requires urgent operative interference and, quite often, hampers the conduct of valuable operation. The isolated damage of ovaries meets only in third of women. Concomitant gynaecological pathology, verified at laparoscopy, more frequent combination to the salpingitis and adhesive process shows for patients with the cysts of yellow body, uterine fibroids or small forms of endometriosis at follicle cysts.