Echographic and doppler features of the functional state of ovaries after hysterectomy

Abstract

DOI: 10.52705/2788-6190-2025-02.1-09
УДК 618.14-089.87-02:618.11-036

The objective: to estimate the features of blood stream of ovaries after hysterectomy.
Materials and methods. The complex is conducted clinical-and-laboratory inspection 200 patients, which carried surgical treatment uterine fibroids from which 100 women were inspected prospectively (group A) and 100 – retrospectively (group B). Depending on the volume of operative interference, patient parted on two groups: the first group (basic group) was made by 100 patients after a myomectomy, 100 patients which carried subtotal hysterectomy entered in the second group (group of comparison). In the group of prospective supervision selected two sub-groups: IA a sub-group was made 50 patients which carried a myomectomy and IIA sub-group – 50 women after hysterectomy. In the group of retrospective supervision a to 1 sub-group entered 50 patients after a myomectomy and in a IIB sub-group — 50 patients after hysterectomy.
In the group of prospective supervision conducted research to the operation, in an early postoperative period and through 3, 6 and 12 months after an operation. In the group of retrospective supervision researches were conducted in 2–10 years after operative treatment. Ultrasonic research of organs of small pelvis, coloured Doppler mapping and Doppler carried out after the generally accepted methods.
Results. Through 3 and 6 months after an operation there was a reliable increase of systolic/ diastolic velocity ratio in both sub-groups (р < 0,001), reliable intergroup differences discovered it was not. In a year after surgical treatment of uterine fibroids in I A there was a decline of systolic/diastolic velocity ratio a sub-group for certain below than the preoperated values (р < 0,001), while in II A this index continued a sub-group to remain for certain higher, than to the operation (р = 0,002). Respectively, at an intergroup comparative analysis were also found out for certain the higher numbers of systolic/diastolic velocity ratio in IIA to the sub-group (р < 0,001). In 2–4 years after an operation for women which carried a myomectomy systolic/diastolic velocity ratio (р < 0,001) is saved for certain below, while after hysterectomy this index for certain higher preoperated (р < 0,001). Respectively, there are also reliable intergroup differences (р < 0,001). Through 5 and more than years after the operation of systolic/diastolic velocity ratio in a 1 subgroup for certain did not differ from preoperative values (р = 0,412), and in IIB sub-group as well as before there was a reliable increase of this index a sub-group both by comparison to the state to the operation and at intergroup comparison (р < 0,001). Conclusions. Got information echographic and Doppler researches testify that women after hysterectomy make the group of high risk in relation to possible development of ovarian neoplasms in different terms after surgical treatment. Findings need to be taken into account at development of algorithm of diagnostic and prognostic measures for women after hysterectomy.