Ultrasound diagnosis of endometritis: hemodynamic features of the uterus
https://doi.org/10.24835/1607-0763-2018-6-82-96
Abstract
Objective. To determine the characteristics of hemodynamics of the uterus with endometritis.
Material and methods. A retrospective analysis of 420 patients of reproductive age (19–53 years old) diagnosed with endometritis. The comparison group consisted of 323 women aged 17–52 without gynecological pathology.
Blood flow indicators in the uterine arteries, such as maximum systolic, end-diastolic, and average blood flow velocity (Vmax, Vmin, Vmean), were estimated, and an arterial perfusion index (API) was calculated. With 3D reconstruction of the uterus in angioregime, a vascularization index (VI), a flow index (FI) and a vascular flow index (VFI) of the uterus and endometrium were obtained.
Result. An increase in Vmax, Vmin, Vmean, as well as VI, VFI of the uterus and VI, FI and VFI of the endometrium in the early and middle proliferative phase of the cycle. API had monotonous values, but it should be taken into account in conjunction with VI.
Conclusions. Echography combined with color mapping, spectral Doppler graphics and vascularization index determination using 3D in angio mode is a highly effective method for the diagnosis of endometritis. Characteristic changes in hemodynamics in endometritis manifest as a violation of the venous outflow in the uterus and, especially, in the endometrium, in the presence of hypervascu larization according to data VI in the aggregate of regulatory or reduced indicators of API.
About the Authors
I. A. Ozerskaya
Peoples’ Friendship University of Russia, (RUDN University)
Russian Federation
Russian Federation
Irina A. Ozerskaya – doct. of med. sci., Professor, Ultrasound Diagnostics and Surgery Division
Miklukho-Maklay str., 21, bldg. 3, Moscow, 117198. People's Friendship University, Department of ultrasound diagnostics and surgery. Phone: +7-926-606-09-05
A. A. Semiletova
LLC Asklepion Medical Center
Russian Federation
Anastasiya A. Semiletova – gynecologist
Russian Federation
Anastasiya A. Semiletova – gynecologist
G. G. Kazaryan
LLC Scientific and Practical Center for Minimally Invasive Surgery and Gynecology
Russian Federation
Gayane G. Kazaryan – ultrasound diagnostician
Russian Federation
Gayane G. Kazaryan – ultrasound diagnostician
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Review
For citations:
Ozerskaya I.A., Semiletova A.A., Kazaryan G.G. Ultrasound diagnosis of endometritis: hemodynamic features of the uterus. Medical Visualization. 2018;22(6):82-96. (In Russ.) https://doi.org/10.24835/1607-0763-2018-6-82-96
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