Endometrija labdabīgo pārmaiņu ķirurģiskās ārstēšanas iespēju salīdzinošā analīze

6533b884fe1ef96bd12def59

RESEARCH PRODUCT

Endometrija labdabīgo pārmaiņu ķirurģiskās ārstēšanas iespēju salīdzinošā analīze

subject

Endometrija polipi Dzemdes dobuma abrāzija Endometrija hiperplāzija Histeroskopija Medicīna

description

Endometrija labdabīgās pārmaiņas ir izplatīta patoloģija premenopauzes un postmenopauzes pacientēm, kas tiek ķirurģiski ārstēta. Biežākās endometrija labdabīgās pārmaiņas ir endometrija polipi un endometrija hiperplāzija, šīs pārmaiņas var izpausties asimptomātiski un var radīt simptomus, no kuriem biežākā ir patoloģiska dzemdes asiņošana. Pētījuma mērķis ir atlasīt, analizēt un salīdzināt endometrija hiperplāzijas un endometrija polipu ķirurģiskās ārstēšanas metodes balstoties uz ginekologu pieredzi. Pētījumā atlasīti un analizēti literatūras dati par endometrija polipu un endometrija hiperplāzijas ķirurģiskām ārstēšanas iespējām un intervēti ārsti ginekologi dzemdību speciālisti no Paula Stradiņa Klīniskās universitātes slimnīcas, Rīgas Austrumu klīniskās universitātes slimnīcas un Vidzemes slimnīcas. Lielākā daļa no intervētajiem ārstiem kā labāko endometrija polipu ķirurģiskās ārstēšanas metodi atzīst histerorezektoskopiju šīs metodes vizualizācijas, precizitātes un efektivitātes dēļ, ko arī pierāda citās valstīs veiktie pētījumi. Tomēr kā endometrija hiperplāzijas ārstēšanas metode joprojām tiek pielietota dzemdes dobuma abrāzija, kuru kā ārstēšanas metodi neizmanto trīs ginekologi, veicot šo manipulāciju tikai pacientiem ar endometrija hiperplāziju, kurus nosūta ambulatorais ārsts, bet izmanto uz pierādījumiem balstīto patoģenētisko hormonālo terapiju. Vadlīnijas un pētījumi iesaka endometrija hiperplāzijas ārstēšanā pielietot hormonālu terapiju, bet totālu histerektomiju kā vienīgo ķirurģiskās ārstēšanas metodi atipiskas endometrija hiperplāzijas gadījumā.

year	journal	country	edition	language
2018-01-01

https://dspace.lu.lv/dspace/handle/7/39248

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