scholarly journals ANATOMIC-FUNCTIONAL STATE OF PELVIC ORGANS IN WOMEN WITH INFERTILITY AND OVARICOVARICOCELE

2020 ◽  
pp. 52-57
Author(s):  
Astakhova OlenaVasylivna ◽  
Hryhorenko Andrij Mykolajovych ◽  
Malinina Olena Bohdanivna ◽  
Taran Oksana Anatoliivna
Keyword(s):  
Menstrual Cycle ◽  
Functional State ◽  
Comparison Group ◽  
Ultrasound Examination ◽  
Varicose Veins ◽  
Morphological Changes ◽  
Pathological Process ◽  
Main Group ◽  
Pelvic Organs ◽  
Yellow Body

Introduction. High informativeness and accessibility of ultrasound examination in infertile patients provides for the exclusion or confirmation of morphological changes in genitals, the degree of damage to the organ and the involvement structures, in particular, varicose veins of the gonadal veins, which can be explained by the emergence of ovarian dysfunction. In addition, the polymorphism of semiotics of echographic signs of pathological changes in pelvic organs in the examined patients confirms the complexity of determining the main and concomitant etiological factors of the emergence of functional infertility in women, the development of disorders of reproductive function and causes the need to involve other methods. The aim of the work was to study the anatomical and functional characteristics of the pelvic organs by ultrasound, medical diagnostic laparoscopy and hysteroscopy to determine the degree of morphological changes of the genitals in women with infertility and ovaricovaricocele. Materials and methods. To solve the goals and objectives, 117 pregnant women of reproductive age (21-44 years old) with functional infertility were prospectively examined and divided into 2 groups for the comparative analysis: the main group was 62 women with infertility and varicose veins in the ovaries; a comparison group was 55 women with infertility without varicose veins. The study of the anatomical and functional state of the uterus, ovaries and fallopian tubes in women of the studied groups was performed by standard ultrasound examination on the PHILIPS ATL-HDI 4000, PHILIPS HD 11-XE with the analysis of folliculogenesis. Laparoscopic intervention was performed by the patients of the main group on the apparatus "Karl Storz" (Germany) in the first phase of the menstrual cycle. Diagnostic hysteroscopy in order to clarify the state of the uterus and endometrium was performed simultaneously with laparoscopy in the 1st or 2nd phase of the menstrual cycle using the equipment "Karl Storz" (Germany).Results. In women of the main group with a combination of functional infertility and ovaricoaricocele, there is a statistically significant increase in the percentage of incorrect position of the uterus - 36 (58.1%) in normal form and size of the uterus, both in the main group of women and in the comparison group - 53 (85,5%) and 48 (87.3%) cases respectively. Analyzing the indicators of ovarian size and the number of antral follicles, a statistically significant difference was found in the direction of its reduction in women with functional infertility and ovaricovaricocele women without varicose dilatation of ovarian veins - 4.1 ± 0.1 cm3 vs. 5.8 ± 1 , 4 cm3 and 3.9 ± 1.1 versus 5.6 ± 1.4, respectively, in two groups. In addition, there is a tendency to reduce the size of the ovary of the protradiental age in women of all the studied groups with statistically significant rates in the patients of the main group. Also, there is a difference in the right ovary volume relative to the left in women with infertility and ovaricovaricocele in the direction of decreasing the size of the latter, which may be due to the predominant localization of the enlarged gonadal vein, and this difference is statistically significant. In determining the functional state of the ovaries in the overwhelming number of women in all of the studied groups ovulation was noted, however, when studying the characteristics of the functional state of the yellow body according to echographic signs, decrease in the thickness of the endometrium in the middle of the luteal phase of the menstrual cycle in patients of the main group, as well as the absence in the overwhelming majority cases of its adequate secretory changes, which is statistically significant against the women of the comparison group. In patients, both the main group and the comparison groups, there is a decrease in the ratio of the volume of the yellow body and ovarian volume and the decrease in the thickness of the wall of the yellow body, respectively, against the control group women, which is an ultrasound sign of inferiority of the yellow body and lack of luteal phase of the menstrual cycle. In addition, women in the main group have a statistically significant reduction in the rates against the women in the comparison group. In women of the main group, a large percentage of varicose veins of the small pelvis are found in the absence of organic changes in the uterus and adnexies (73.3%) in the presence of infertility of obscure genesis.Conclusions. Ultrasound study in combination with color Doppler of patients with ovaricovaricocele is a highly informative method of research, because it allows to perform topical diagnosis, to determine the morphological character of the lesion, to differentiate the type of pathological process and to identify the concomitant pathology of the pelvic organs. The conducted study suggests that ovaricovaricocele should be considered not only as an accompanying symptomatic changes in diseases of the female genitals, but also as one of the causes of ovarian dysfunction with delay or termination of growth of the follicles, change in their size, degenerative-dystrophic changes in the ovaries, which leads to a violation hormonal homeostasis and manifested by reproductive disorders. In the perspective of further research it is necessary to consider a complex analysis of the morphological and functional characteristics of the internal genital organs, which will establish the presence of a certain functional and organic gynecological pathology and will enable to diagnose the initial and minimal course of the pathological process of the pelvic organs, finally verify the final diagnosis and appoint pathogenetic treatment.

scholarly journals Anatomo-functional characteristics of the pelvic organs in women with habitual miscarriage and chronic endometritis

2020 ◽  
Vol 26 (4) ◽  
pp. 36-41
Author(s):  
P.M. Nevhadovska ◽  
S.B. Chechuga ◽  
Е.A. Nochvina ◽  
N.P. Dzis
Keyword(s):  
Menstrual Cycle ◽  
Structural Changes ◽  
Ultrasound Examination ◽  
Main Group ◽  
Control Group ◽  
Specific Method ◽  
Childbearing Age ◽  
Functional Characteristics ◽  
Chronic Endometritis ◽  
Pelvic Organs

Chronic endometritis is a clinical and morphological syndrome, which under the influence of an infectious agent contributes to the violation of cyclic biotransformation and reciprocity of the endometrium. In the diagnosis of gynecological pathology, in particular chronic endometritis, or habitual miscarriage on the background of chronic endometritis, ultrasonography is a mandatory, non-invasive and highly specific method of research. The aim of the study was to assess the anatomical and functional condition of the pelvic organs in women with habitual miscarriage and chronic endometritis using ultrasound (ultrasound and Doppler) criteria. We examined 98 women of childbearing age who applied to the Inomed clinic in the city of Vinnytsia during 2019-2020. Patients were divided into two groups: the main group – 68 women with habitual miscarriage and chronic endometritis; control group – 30 re-pregnant women without previous pregnancy loss. Initially, ultrasound examination (ultrasound) of the pelvic organs was performed on day 5-7 of the menstrual cycle, and to monitor folliculogenesis, the study was repeated on day 13-17 of the cycle. One of the main signs of chronic endometritis is the heterogeneity of the structure of the endometrium, which was found in the vast majority of examined patients of the main group (80.88% at n=68). When determining the thickness of the endometrium, two diametrically opposite processes were established, namely: atrophy (39.71% at n=68) and atypical glandular hyperplasia (22.05% at n=68). In the second half of the menstrual cycle there was a significant thinning of the endometrial layer <0.6 cm. In the control group during the ultrasound examination revealed the following disorders: increased uterine peristalsis, dilation of the arcuate plexus, the heterogeneity of the subendometrial layer, and when re-ultrasound took into account the data of folliculogenesis. Follicular cysts were detected in 10.3% of cases in the main group and 3.3% in the control group of women. At the time of re-ultrasound in each ovary was observed 5-8 antral follicles (the size of which ranged from 6.8 mm to 11.5 mm) with the presence of one dominant, the size of which ranged from 18.2 to 23.4 mm. In order to increase the informativeness of ultrasound, Doppler was additionally performed. Thus, ultrasonography is a highly specific method for determining the anatomical and functional characteristics of the pelvic organs, in particular the pathology of the endometrium in women with habitual miscarriage. The main ultrasound characteristics of chronic endometritis, as one of the causes of reproductive losses, are changes in endometrium structure, thickness, the presence of additional structures (polyps) and fluid component. Informativeness of ultrasound examination of structural changes in the endometrium in chronic endometritis is complemented by Doppler characteristics of blood flow in the basal and spiral arteries of the uterus.

scholarly journals A Disorder of Menstrual Function Regularization and its Influence on a Female Reproductive Potential

2017 ◽  
Vol 24 (3) ◽  
Author(s):  
Oksana Makarchuk ◽  
Volodymyr Dziombak
Keyword(s):  
Risk Factors ◽  
Menstrual Cycle ◽  
Pregnant Women ◽  
Luteal Phase ◽  
Comparison Group ◽  
Inflammatory Diseases ◽  
Main Group ◽  
The Body ◽  
Obstetric Complications ◽  
Menstrual Function

Obstetric complications in women of reproductive age are often the result of puberty disorders which remain underestimated and not taken into account in pregnancy monitoring programs in such patients, leading to an increase of habitual non-carrying of pregnancy and negative obstetric effects.The objective of the research is to carry out a comprehensive multivariate assessment of the disturbances of the body adaptive processes in teenage girls, taking into account the data of anamnesis regarding the specifics of menstrual function regularization during puberty, and to determine the main factors of complicated pregnancy in this category of patients.Materials and methods. To carry out the task, 110 pregnant women with a disorder of menstrual function regularizationhave been prospectively examined (the main group); the examination was performed at the preconception stage and in the periods of 6-12, 22-24 and 32-36 weeks of pregnancy. The comparison group consisted of 30 patients with a normal menstrual cycle. In order to identify risk factors and predict complications, the odds ratio (OR) and its 95% confidence interval were used.Results. Extragenital pathology plays a significant role in the formation of pathological course of puberty and obstetric complications; 87.27% ofsuch cases were demonstrated in our study. Among the disorders of the ovarian-menstrual cycle, the structural significance is characteristic to the failure of the luteal phase and anovulatory disorders (78.18% of cases). Gynaecologic pathology includes inflammatory diseases of the pelvic organs (35.45%), cervical background processes (41.66%), ovarian tumour lesions (21.81), and primary infertility(14.54%). The obtained results of the structure of pregnancy complications in patients of the main group show reproductive losses in early pregnancy (11.8%), subchorionic hematoma (28.18%) and the threat of late spontaneous abortion; these data are notedthree times more often than in the comparison group. Many cases of preeclampsia (28.18%), gestational anaemia in more than half of the observations, fetal distress during pregnancy (32.72%) and birth of children with a low weight (17.27%) are associated with the development of the primary placental dysfunction and pathology of vascular and thrombocytic component of haemostasis.Conclusions. Analysis of the obtained data confirmed that pregnant women with a disorder of menstrual function regularization in puberty are characterized by a significant number of complications during pregnancy and delivery, high rates of spontaneous abortions and missed miscarriages; all these factsshould be considered as potential risk factors. The key factors are the following: endocrine imbalance by type of oligomenorrhea and luteal phase deficiency (OR – 9.16; 2.21-23.24), inflammatory diseases of the genital tract, such as asymptomatic bacteriuria and bacterial vaginosis (OR – 14.26; 3.26-32.12), premature deliveryin past medical history, the risk of spontaneous miscarriages and subchorionic hematoma.

scholarly journals FEATURES OF ULTRASOUND IMAGING IN FETAL INTRAUTERINE GROWTH RETARDATION

2021 ◽  
Vol 25 (1-2) ◽  
pp. 3-6
Author(s):  
V. A. Berezhna
Keyword(s):  
Gestational Age ◽  
Growth Retardation ◽  
Intrauterine Growth Retardation ◽  
Comparison Group ◽  
Ultrasound Examination ◽  
Main Group ◽  
Head Size ◽  
Abdominal Circumference ◽  
Intrauterine Growth ◽  
Biophysical Profile

Fetal growth retardation complicates an average of 10% of all pregnancies. Today, ultrasound examination is used in obstetrics for diagnosis. Therefore, early detection of this complication is the key to adequate treatment and reduction of perinatal consequences. A deeper understanding of the early accompanying ultrasound parameters will allow timely detection or prevention of intrauterine fetal development. The aim of the research was to conduct an ultrasound antenatal examination of women with intrauterine growth retardation. Ultrasound fetometry and placentometry were conducted in women with intrauterine growth retardation (the main group, n-41) and women in the comparison group with the physiological course of pregnancy (n-12). At the initial ultrasound examination, among women in the main group, fetuses below the 10th percentile were probably more common and had a decrease in biparietal head size and abdominal circumference (p = 0.001, p = 0.08). With repeated ultrasound examination, the frequency of detecting decreased indicators of biparietal head size, head circumference, abdominal circumference, femoral shaft length below the 10th percentile among women in the main group increases by 1.5 times, and significantly differs from the indicators of the comparison group. (p = 0.0002, p = 0.001). A decrease in the biophysical profile of the fetus to 6-7 points accompanies 63.4% of pregnancies with intrauterine growth retardation. The amniotic fluid index below the 5th percentile in relation to the gestational age in women at the initial examination was 2.4%, and at the second examination - 7.3%. The placental ultrasound marker of premature maturation by gestational age 21.4%, the presence of petrification in 58.5%. In case of timely detection of the fetometric and placentometric changes, it is possible, from the standpoint of modern obstetrics, to start etiopathogenetic therapy and prevention of this complication of pregnancy.

scholarly journals Evaluation of effectiveness of complex treatment of chronic generalized periodontitis using original splinting design

2021 ◽  
Vol 38 (6) ◽  
pp. 83-93
Author(s):  
N. B. Astashina ◽  
E. P. Rogozhnikova ◽  
A. S. Arutyunov ◽  
N. N. Malginov ◽  
S. V. Kazakov
Keyword(s):  
Quality Of Life ◽  
Comparison Group ◽  
Negative Impact ◽  
Young Patients ◽  
Pathological Process ◽  
Main Group ◽  
Complex Treatment ◽  
Periodontal Tissues

Relevance. The relevance of the study is dictated by the high prevalence of periodontal disease among young people and by the need to search for new approaches to periodontitis treatment in order to increase the effectiveness of treatment at early stages of pathological process. Objective. To evaluate the effectiveness of complex treatment of chronic generalized periodontitis (CGP) of mild severity using a removable splinting construction made according to the author's technique. Materials and methods. At the orthopedic stage of the complex treatment of mild CGP, splinting constructions were used for 47 young patients: in the main group (n = 16) the authors treatment and preventive splint, in the first comparison group (n = 15) a removable metal splint, in the second comparison group (n = 16) a fixed adhesive fiber splint. Periodontal hemodynamics was assessed using ultrasound Doppler analysis 1, 6 and 12 months after the therapeutic measures and tooth immobilization. To identify the possible negative impact of the treatment on the quality of life (QOL) in patients with splint constructions, we used the OHIP-14-Ru questionnaire; the follow-up period was 1.3, 6, and 12 months. Results. Dental immobilization contributed to the improvement of blood flow in the periodontal tissues in the short and long term follow-up, so after 12 months: Vam in the main group increased by 39,8 % and amounted to 0,397 0,004 cm / s, in patients of the comparison groups Vam was 0,329 0,006 cm / s and 0,335 0,003 cm / s, respectively, that is 15,4 % and 18,4 % higher compared with the figures before treatment. The quality of life index for patients using splinting constructions made according to the author's technique, by the OHIP-14-Ru questionnaire was assessed as good 1 year after (3.46 0.59). Conclusions. The use of the proposed original orthopedic design in a complex plan for mild periodontitis treatment helps to improve regional blood circulation and stabilize the pathological process.

scholarly journals Morphological signs of the effectiveness of application sorbent in the treatment of purulent wounds (experimental study)

Morphologia ◽  
2021 ◽  
Vol 14 (4) ◽  
pp. 7-15
Author(s):  
O. O. Bilyayeva ◽  
O. O. Dyadyk ◽  
V. I. Zaritsʹka ◽  
Ye. Ye. Kryzhevskyi
Keyword(s):  
Wound Healing ◽  
Comparison Group ◽  
Morphological Changes ◽  
Main Group ◽  
Group Iii ◽  
Group I ◽  
Purulent Wounds ◽  
Comparison Groups ◽  
New Generation ◽  
Connective Tissue Repair

Objective. To prove experimentally the effectiveness of a new generation of application sorbent by studying the morphological changes during the wound process. Methods. Depending on the drug used to treat purulent wounds, we divided the animals into three groups. In the main group (group I) the study was performed on 20 rats, they used an application sorbent, which includes aerosil with immobilization on its matrix ornidazole (Patent of Ukraine for utility model № 115228). The comparison group (group II) consisted of 10 rats, which used the known sorbent "Gentaxan", which includes: gentamicin sulfate, L-tryptophan and zinc sulfate. The comparison group (group III) was 10 rats. In this group for the treatment of purulent wounds used 10% sodium chloride solution, followed by a transition to ointment "Levomekol", which includes chloramphenicol and methyluracil. Results. The results of the study show that in the main group already on the seventh day in comparison with the comparison groups was found granulation tissue with a large number of newly formed vessels of the microcirculatory tract and pronounced proliferation of fibroblasts, indicating acceleration of wound healing. In the comparison groups, the regeneration process was slower. Conclusion. Pathomorphological examination revealed that drugs with sorption properties contribute to a faster reduction of edema and inflammation, and treatment with application sorbent used in the main group, significantly accelerates the processes of connective tissue repair and wound epithelization, ie accelerates wound healing processes with comparison groups.

scholarly journals Complicated destructive appendicitis: finding the optimal treatment method

2021 ◽  
Vol 102 (5) ◽  
pp. 751-756
Author(s):  
I S Malkov ◽  
T A Mamedov ◽  
M I Shakirov ◽  
V A Filippov
Keyword(s):  
Comparison Group ◽  
Surgical Intervention ◽  
Morphological Changes ◽  
Statistical Significance ◽  
Surgical Techniques ◽  
Treatment Method ◽  
Intestinal Wall ◽  
Main Group ◽  
Wound Complications ◽  
Lengths Of Stay

Aim. To analyze the current practice for the surgical treatment of destructive acute appendicitis complicated by typhlitis and periappendicular abscess. Methods. This study analyzed the treatment outcomes in 84 patients with acute destructive appendicitis aged 18 to 79 years who were treated in the Department of Surgery No. 2 of the City Clinical Hospital No. 7 of Kazan between 2016 and 2021 years. According to the method for completion of surgical intervention, patients were divided into 2 groups, similar in age, duration of the disease and morphological changes in the appendix. In the comparison group, 54 patients had the surgical intervention completed by gauze-glove drainage of the appendix bed. In 30 patients of the main group, the appendix stump and the adjacent intestinal wall was covered with a Tachocomb plate. Then the VAC system with the Vivano device and supplies from Hartmann Group (Germany) was connected. The statistical significance of the differences between the indicators was assessed by using the Student's t-test. Results. The analysis of the surgical techniques used showed that in the main group, postoperative wound complications decreased by 3 times (23.3% of patients, p=0.04), intra-abdominal fluid collections decreased by 2 times (6.7% of patients, p=0.02), the hospital lengths of stay decreased by 1.8 times (p=0.02) compared with the comparison group. Conclusion. The use of ligature appendectomy in combination with plastic closure of the appendix stump with a TachoComb and the technology of local vacuum-assisted laparostomy in patients with destructive appendicitis complicated by periappendicular abscess contributes to a 3-fold reduction in wound postoperative complications and reduces the hospital lengths of stay in this group of patients by 1.8 times.

MINERAL HOMEOSTASIS OF THE ORAL FLUID IN CHILDREN AND ADOLESCENTS WHO HAVE UNDERGONE TREATMENT OF MALIGNANT NEOPLASMS

2021 ◽  
pp. 99-106
Author(s):  
Obukhov Yu.A. ◽  
Zhukovskaya E.V. ◽  
Karelin A.F.
Keyword(s):  
Children And Adolescents ◽  
Oral Fluid ◽  
Chemical Elements ◽  
Morphological Changes ◽  
Pathological Process ◽  
Main Group ◽  
Control Group ◽  
Malignant Neoplasms ◽  
Mineral Homeostasis ◽  
Toxic Damage

Annotation. The authors' study highlights the urgent problem of the development of toxic damage to the dentition under the influence of anticancer therapy in children and adolescents. The aim of the study was to study the violation of the homeostasis of the oral fluid and the severity of the carious process. Materials and methods. As part of a pilot study at the Russian Field Treatment and Rehabilitation Center, 63 children were studied the severity of mineral homeostasis disorders and damage to the dentoalveolar system. Results. In 67% of patients in the main group, there was an increased tendency to form carious cavities. 54.5% of them have complicated caries. One third of patients had more than five carious teeth. In the control group, carious lesions of the teeth in only three patients (20%), with the involvement of 1-3 teeth in the pathological process. Violation of enamel formation was diagnosed in 36% of children of the main group. There is a tendency for the accumulation of the studied microelements in the oral fluid, while in the blood serum there is a normal or insignificant decrease in their content. According to the literature, this may indicate destruction in the oral cavity. Deviations in the homeostasis of chemical elements in children who completed the treatment of malignant neoplasms and children in the control group were revealed. An increased content of osteotrophic microelements was found to correlate with the destructive processes of the teeth. Conclusion. It seems appropriate to study the severity of morphological changes in hard tissues of teeth and the electrolyte composition of mixed saliva in children and adolescents who have been cured of malignant neoplasms. The results of studies of gastric cancer, as an indicator of metabolic disorders, will make it possible not only to reveal the imbalance of macro- and microelements, but also to establish the effectiveness of adaptation mechanisms aimed at normalizing the elemental composition of the oral fluid.

scholarly journals Clinical characteristics of women with infertility and ovaricovaricocele

2018 ◽  
Vol 22 (1) ◽  
pp. 55-61
Author(s):  
O.V. Astakhova
Keyword(s):  
Clinical Characteristics ◽  
Structural Changes ◽  
Comparison Group ◽  
Inflammatory Diseases ◽  
Varicose Veins ◽  
Main Group ◽  
Reproductive Age ◽  
Ovarian Dysfunction ◽  
Significant Percentage

Despite numerous studies devoted to the etiological factors and pathogenetic aspects of infertility, the lack of a comprehensive analysis of the causes of ovarian dysfunction and the exact diagnosis leads to the polypharmacy of hormonal drugs and their low effectiveness. One of the less well known and poorly studied factors is pelvic venous complications, including varicose veins of the ovaries. Violation of venous circulation in the pelvic organs plays a significant role in the structure of gynecological pathology, particularly in the development of ovarian dysfunction. The purpose of our study was to analyze the clinical characteristics of women with functional infertility and ovaricovaricocele, namely the features of anamnesis of life, gynecological and somatic anamnesis, the study of which allows to assess and determine the risk factors, possible causes of ovarian dysfunction and the formation of varicose veins. To solve the goals and objectives, were prospectively examined and divided into 2 groups for the comparative analysis 117 pregnant women of reproductive age (21–44 years old) with functional infertility: the main group was 62 women with infertility and varicose veins in the ovaries; comparison group has 55 women with infertility without varicose veins. Patients were examined by a specially designed questionnaire, which included the results of gynecological and somatic anamnesis, anamnesis of life. In the main group of women there is an increased proportion of women with intellectual differentiation of labor and psycho-emotional and physical activity, which may be the basis for the formation of maladaptation syndrome with the subsequent occurrence of functional disorders of the reproductive system. In addition, conditions of work with considerable physical activity can indirectly have a negative effect on venous hemodynamics in the small pelvis. Women with functional infertility and ovaricovaricocele had a high incidence of infectious diseases in childhood — 83.9%. It is precisely at the stage of formation of reproductive function that the action of an infectious factor can be significant in the occurrence of violations of complete oogenesis in the subsequent reproductive life of patients. Attention is drawn to the large number of inflammatory diseases of the internal organs in women as the main group and the comparison group in the study of the somatic anamnesis: from the otolaryngologic organs — 48.3%, respiratory organs – 54.7%, genitourinary system — 43.5% and in the structure of gynecological diseases: inflammation of ovaries — 43.5%, vagina and cervix — 25.8%, suggesting that factors of violations of folliculogenesis in active reproductive age may be inflammatory diseases of the genitals. There is a significant percentage of dyshormonal abnormalities in the form of abnormal uterine bleeding in the structure of gynecological pathology in women with functional infertility and ovaricovaricocele (30.6%) against patients with infertility without structural changes in ovarian veins. Patients with infertility are more likely to point out dysgharmony of sexual life (58.1%), which in patients with varicose veins in the pelvic organs was accompanied by dyspareunia (32.2%), suggesting the role of chronic stress as a risk factor for ovarian dysfunction, which is also exacerbated by the presence pain of syndrome in the lower abdomen in women of the main group (77,4%). The more significant percentage of gynecological pathology of endocrine genesis in women with functional infertility and ovaricovaricocele and the presence of certain extragenital pathology, which affects the formation of pelvic pelvic flooring in comparison with patients with infertility without structural changes in ovarian veins, is established during the analysis of the clinical characteristics of the significant percentage of venous hemodynamics in the functional properties of the ovary and induces further investigation of the role of varicose veins of the pelvic reservoirs, in particular ovariсovariсocele, in the pathogenesis of ovarian dysfunction in order to further develop the methods of therapeutic correction.

scholarly journals Diagnostic significance of phlebotonometry for evaluation of indications for angioplasty and stenting of compressed iliac veins in patients with varicocele and pelvic congestion disease

2020 ◽  
Vol 21 (1) ◽  
pp. 29-41
Author(s):  
A. A. Kapto
Keyword(s):  
Inferior Vena ◽  
Ultrasound Examination ◽  
Varicose Veins ◽  
Transrectal Ultrasound ◽  
Vena Cava ◽  
Resonance Imaging ◽  
Pelvic Organs ◽  
Left And Right ◽  
Angioplasty And Stenting ◽  
Valsalva Test

The aim of the study was to assess the information content of the phlebotonometry method when determining indications for endovascular x-ray angioplasty and stenting of the iliac veins during their arterial compression.Materials and methods. Thirty-six patients with bilateral varicocele and varicose veins of the pelvic organs were examined. The examination included assessment of the condition using the international index of erectile function, ultrasound examination of the scrotum organs with color Doppler mapping, transrectal ultrasound of the prostate and veins of the prostatic plexus, magnetic resonance imaging of the inferior vena cava and pelvic vessels, venography of the renal caval and ileocaval segments, phlebotonometry of these segments in a calm state and during the Valsalva test.Results. Pressure gradient between left and right external iliac veins >2 mm Hg in a calm state was detected in 4 (11.1 %) patients, >3 mm Hg with Valsalva test – in 9 (25.0 %) patients, between the left and right common iliac veins >2 mm Hg in a calm state – in 3 (8.3 %) patients, >3 mm Hg with a Valsalva test, in 15 (41.7 %) patients. At the same time, in 20 (55.6 %) of 36 cases, phlebotonometry data were of a contradictory logic nature, which we attribute to the insufficient sensitivity of this research method. Our data suggest that collateral circulation leads not only to varicose veins of the pelvic organs, but also to equalization of pressure in the ipsilateral segments of the iliac veins due to the law of communicating vessels.Conclusion. Phlebotonometry in the diagnosis of iliac venous compression can only be used as an additional research method. Indications for angioplasty and stenting of the iliac veins during compression should be determined on the basis of clinical data, the severity of varicose veins of the pelvic organs according to the results of transrectal ultrasound examination, the results of magnetic resonance imaging of the inferior vena cava and pelvic vessels (or computed tomography of the abdominal organs with contrast or multispiral computed tomography of the abdominal cavity organs), radiopaque phlebography and intravascular ultrasound.The author declares no conflict of interest.All patients gave written informed consent to participate in the study.

scholarly journals Efficiency of Application of Pilates as a Mean of Physical Therapy in Women with Degenerative-Dystrophic Lesions of the Lumbar Spine

2021 ◽  
Vol 6 (5) ◽  
pp. 450-455
Author(s):  
T. Odynets ◽  
◽  
O. Kolomiichenko ◽  
Keyword(s):  
Lumbar Spine ◽  
Physical Therapy ◽  
Functional State ◽  
Comparison Group ◽  
Effective Means ◽  
Spinal Pain ◽  
Main Group ◽  
Middle Aged ◽  
Permanent Disability ◽  
Body Retention

Degenerative-dystrophic lesions of the lumbar spine are characterized by a systemic multifactorial course and significantly affect the quality of life. Spinal pain due to degenerative-dystrophic diseases very often affects middle-aged people, in particular women, leading to temporary or permanent disability. Degenerative-dystrophic diseases of the spine are accompanied by neurological manifestations, pain syndromes, prone to a protracted course and have repeated relapses. The purpose of the study was to determine the features of physical therapy to improve the functional state of the spine in middle-aged women with degenerative-dystrophic lesions of the lumbar spine. Materials and methods. The following research methods were used in the study: theoretical analysis of scientific and methodological literature, empirical (determination of the functional state of the muscles of the trunk), pedagogical experiment, methods of mathematical statistics. The study involved 28 women. The main group and the comparison group of 14 people each were formed by the method of random sampling, the average age of the subjects was 40.44 ± 1.25 and 41.60 ± 1.14 years old, respectively. The main group was studied according to the developed program of physical therapy with the use of Pilates, the comparison group – according to the program of therapeutic gymnastics (general developmental orientation) of the communal non-profit enterprise "Zaporizhzhya Regional Clinical Hospital". The study of the functional state of the muscles of the trunk was assessed according to the following tests: the time of holding the lateral support; keeping the support lying on the forearms; static body retention; holding the torso at an angle of 60˚; flexion and extension of the spine. Results and discussion. According to the results of the final rehabilitation examination, it was found that in the comparison group it was not possible to record a possible improvement in the functional state of the muscles of the trunk and the amplitude of the spine. At the same time in the main group such changes occurred in all the studied parameters. In particular, the index of lateral support retention in the main group significantly increased by 8.00 s (p <0.05), retention of the support lying on the forearms – by 10.00 s (p <0.05), static trunk retention - by 9.5 s (p <0.05), holding the trunk at an angle of 60˚ - by 10.00 s (p <0.05), flexion of the spine – by 3.00 cm (p <0.05), extension of the spine – by 5.00 cm (p <0.05). Conclusion. The results of the study indicate that Pilates is an effective means of improving the functional state of the muscles of the trunk and the amplitude of the spine, which was confirmed by significantly better indicators of functional tests in the main group compared with the women in the comparison group

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