Women have pressing questions of pathology of endometrium in postmenopause

Abstract

DOI: 10.52705/2788-6190-2024-04.2-08
УДК 618.14-006:611.664:618.173-036-07-08-039.71

The objective: the women of postmenopausal age have an increase of efficiency of diagnostics and treatment of proliferative processes of endometrium on the basis of improvement and introduction of algorithm of diagnostic, treatment-and-prophylactic and rehabilitation measures.
Materials and methods. For the decision of the put purpose by us 213 patients of postmenopausal period were inspected with the presence of proliferative processes of endometrium. The all looked after were up-diffused on 3 groups: in the basic group were 118 patients are plugged from 60 to 82 years is a 1 group; to the group comparison entered the 95 looked after from 46 to 59 years are 2
groups; a control group was made by 30 women without gynaecological pathology, compared on age and by concomitant somatic pathology, such which are in postmenopausal period. To the complex inspections were included clinical, laboratory, instrumental, morphological and statistical methods.
Results. Information, echographies got at implementation, executable all looked after the ablation of endometrium, confirmed high safety of such sparing method of minimally invasive surgery, as electrosurgical to the ablation. From data of ultrasonic research of organs of small pelvis in the first two days after an operation testified to absence of any complications, at the control ultrasonic
inspections of genital organs during 6 years, found out a presence in inspected presence of the preserved endometrial lesions, which had of benign. It confirms high efficiency, small traumatic and good tolerability ablations and hysteroresectoscopy.
These methods of surgical interferences are a deserving alternative to the traditional methods of treatment of patients of the older age group with of high quality pathology of uterus, especially in very complicated by concomitant somatic pathology, at presence of contra-indications to operative treatment and endocrinotherapy.
Conclusions. The use of the improved algorithm of diagnostic, treatment-and-prophylactic and rehabilitation measures allows to promote efficiency of treatment and prevention development of relapses.