The role of hysteroresectoscopy in the diagnosis and treatment of reproductive age women with uterine leiomyoma

The objective: to investigate the features of hysteroscopic picture uterine cavity and endometrium condition in women with leiomyoma (UL) possibility using results choose a treatment method.Materials methods. A total amount reproductive age that was examined is 216. Among them 118 underwent surgical for UL 98 patients treated conservative therapy. In addition general clinical methods, ultrasound examination, hysterorectoscopy, histological examination obtained material performed, followed by comparative analysis findings.Results. According hysteroresectoscopy, more frequently characterized irregular wall relief (47.7%) shape (43.1%) due submucosal (14.4%) intramural nodes centripetal growth (30.6% ), which significantly frequent compared findings (13.9%, p<0.05). Endometrial polyps predominated among endometrial pathology (55.6%), consistent finding (59.7%) twice as (23.1%, And hyperplasia (14.8%), (18.1%) but rare (36.6%, Chronic endometritis detected at hysteroscopy less than 1% subjects, whereas it 26.4%, p<0.05. Ultrasound revealed no transformation during cycle 30.1% women, mismatch development chronological day menstrual according (23.1%).Conclusion. Hysteroresectoscopy an important stage UL, helps assess cavity, particular, degree deformation leiomatous nodules, determines course disease contributing factor infertility, affects choice tactics this cohort patients. when combined endometrium, comprehensive characterisation (chronic endometritis, cycle) presence associated pathological processes (polyps hyperplasia) require correction can be obtained.