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Эндометриоз параметрия представляет собой тяжелую форму заболевания, связанную с вовлечением в инфильтративный процесс мочеточников и нервов малого таза, что может приводить к нарушениям функций мочевыделительной системы, кишечника и сексуальной дисфункции. Хирургическое вмешательство в таких случаях требует сложного мультидисциплинарного подхода, планирование которого возможно только после детальной предоперационной диагностики. В статье приводится обзор современных международных рекомендаций по ультразвуковой оценке параметрия. Для демонстрации возможностей ультразвукового исследования представлены собственные эхограммы параметрия в норме и при глубоком эндометриозе.
Ключевые слова:
ультразвуковая диагностика, эндометриоз, параметрий, ultrasound, endometriosis, parametrium
Литература:
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Parametrial endometriosis is a severe form of the disease associated with the involvement of the ureters and pelvic nerves, which leads to sexual, urinary, and intestine dysfunction. Surgery in such cases requires a complex multidisciplinary approach, which can be planned only with a detailed preoperative diagnosis. The article presents a review of current international guidelines for parametrium ultrasound. The capabilities of ultrasound are demonstrated by our own ultrasound images of normal parametrium and in deep endometriosis.
Keywords:
ультразвуковая диагностика, эндометриоз, параметрий, ultrasound, endometriosis, parametrium