GLANDULAR HYPERPLASIA OF ENDOMETRIUM. DIAGNOSTIC, CLINIC, TREATMENT

Abstract

The results of examination and treatment of 105 patients with glandular hyperplasia of the endometrium, have done. The age of women ranged from 24 to 55 years, the average was equal to 42.3 +3.1 years ; reproductive age was 61 patients, 44 menopausal period. The diagnosis of glandular endometrial hyperplasia (ZHE) is set on the basis of ultrasound TVUZI, hysteroscopy, morphological study scraping the uterine mucosa. All patients carried hormone therapy for 6 months: estrogenprogestin, antiestrogen , progestin, progestogens. Efficacy in patients of reproductive age was observed in 43 (70.5 %) patients, in patients with perimenopausal in 30 ( 68.2 %) coses.In 34,8% patients relapse glandular hyperplasia of the endometrium (for the period from 1 to 3 years). Transcervical electrosurgical resection ( ablation) of the endometrium were performed. The results showed the effectiveness of endometrial ablation surgery in 90.6% of patients. Thus, in the absence of therapeutic effect of hormone therapy, recurrent uterine bleeding and endometrial hyperplasia, glandular, has hysteroscopic resection surgery (ablation) of the endometrium the high efficacy.

Keywords

• гиперплазия эндометрия
• диагностика
• клиника
• лечение