Vygivska L. A., Pliekhova O. O.

ULTRASONIC AND DOPLEROMETRIC CHARACTERISTICS OF THE STATE OF PELVIC ORGANS IN PUBERTATE GIRLS WITH ABNORMAL UTERINE BLEEDING DEPENDING ON THE DEGREE OF ANEMIA SEVERITY

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About the author:

Vygivska L. A., Pliekhova O. O.

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CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

Annotation:

Abnormal uterine bleeding is one of the most serious problems affecting girls in the pubertal period. AUB occupies a leading position in the structure of gynecological abnormalities of this period. Ultrasound diagnosis is one of the priority areas in gynecological practice for AUB detection. The aim of the study – to investigate the ultrasound and Doppler characteristics of the pelvic organs in girls in the pubertal period with abnormal uterine bleeding depending on the severity of anemia. The study involved examination of 65 patients aged 10-17 years with AUB, who constituted the main group (MG). According to the severity of anemia, MG girls were additionally divided into clinical subgroups: clinical subgroup I – 30 (46.1%) girls with mild anemia, II – 25 (38.5%) girls with moderate anemia, III – 10 (15.4%) girls with severe anemia. The control group (CG) consisted of 30 practically healthy girls. Ultrasound and Doppler examination (DE) of the pelvic organs were performed using an ultrasound scanner MINDRAY M7 (China). Ultrasound and DE were performed on the 5th–7th day of the MC or on any day of the MC as prescribed by the gynecologist or at the time of admission to the hospital. DE included quantitative and qualitative assessment of blood flow velocity curves in the UA, BA and SA of the myometrium. The largest uterine sizes were found in girls with moderate and severe anemia. The enlargement of the uterus occurred due to its length and thickness. In 87.7% of MG girls, the echostructure of the endometrium contained areas of reduced and increased echodensity. The greatest thickening of the endometrium was observed in girls with severe anemia. According to DE, a decrease in the level of RI in UA, BA and CA was diagnosed. In the ovaries, 38.5% of follicular cysts, 32.3% of polycystic ovaries, and 16.9% of corpus luteum cysts were visualized in MG girls. In pubertal girls with AUB and moderate and severe anemia, the most pronounced ultrasound changes were observed in the pelvic organs. The size of the uterus was increased, the structure of the endometrium was heterogeneous and thickened. Uterine blood circulation was impaired, which was manifested by a decrease in tone in the uterine, basal, and spiral arteries. Diagnostic changes in the ovaries were the presence of follicular cysts, polycystic ovaries, and corpus luteum cysts.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2025 Issue 1, 176, 174-183 pages, index UDC 618.14-005.1-005.4-053.6-007-073.432.19

DOI:

10.29254/2077-4214-2025-1-176-174-183