Email this article 
Post a Comment PECULIAR FEATURES OF ANAMNESIS IN PATIENTS WITH CHRONIC ENDOMETRITIS
- Authors: Kobaidze EG1, Padrul MM1, Cheremiskin VP1
-
Affiliations:
- Пермский государственный медицинский университет им. академика Е. А. Вагнера, г. Пермь, Российская Федерация
- Issue: Vol 32, No 2 (2015)
- Pages: 25-29
- Section: Articles
- URL: https://journals.rcsi.science/PMJ/article/view/3060
- DOI: https://doi.org/10.17816/pmj32225-29
- ID: 3060
Cite item
Full Text
Abstract
Aim. To analyze the disease course in patients with chronic inflammation of the uterine mucosa. In modern conditions, the number of chronic forms of inflammatory diseases with latent symptomatology is growing; different pathologies are often associated. Materials and methods. The peculiar features of anamnesis, in particular, association of gynecological and somatic pathology in patients with chronic endometritis (CE) as well as sterility were determined; 232 patients with morphologically confirmed chronic endometritis were examined. Results. The following peculiarities were detected while analyzing somatic anamnesis: 132 (56,9 %) women had chronic somatic pathology; in 35 (15 %) cases two or more somatic pathologies were combined. Analysis of reproductive anamnesis revealed the following peculiarities: 178 (76,7 %) women had pregnancies in anamnesis and formed the group of patients with secondary sterility; 54 (23,2 %) patients suffered from primary sterility. While analyzing gynecological anamnesis in the examined patients, the following peculiarities were found out: more often CE patients suffered from dysmenorrhea - 140 (60,3 %) cases, uterine myoma - 32 (13,8 %), external and internal endometriosis - 36 (15,5 %), bacterial vaginosis - 112 (48,3 %) women. Besides, there was a high rate of chronic inflammatory diseases of the uterine appendages - 118 (50,9 %) cases; 60 (25,9 %) patients had different interventions on the uterine neck in anamnesis. Conclusions. Treatment with antibiotics administered to patients with chronic inflammation including CE is often directed only to weakening of symptoms, but not to eradication of possible infectious agents. Suppressive effect of drugs on immunocompetent cells of microorganisms can decline the efficiency of immune response to inflammatory process and provoke the development of autoimmune disorders in tissues.
About the authors
E G Kobaidze
Пермский государственный медицинский университет им. академика Е. А. Вагнера, г. Пермь, Российская Федерация
Email: eka7i@yahoo.com
доцент кафедры акушерства и гинекологии, кандидат медицинских наук
M M Padrul
Пермский государственный медицинский университет им. академика Е. А. Вагнера, г. Пермь, Российская Федерацияпрофессор, доктор медицинских наук, заведующий каф. акушерства и гинекологии
V P Cheremiskin
Пермский государственный медицинский университет им. академика Е. А. Вагнера, г. Пермь, Российская Федерациядоцент кафедры акушерства и гинекологии, доктор медицинских наук
References
- Сухих Г. Т., Шуршалина А. В. Хронический эндометрит. М.: ГЭОТАР-Медиа 2010; 64.
- Дубницкая Л. В., Назаренко Т. А. Хронический эндометрит: современные подходы к терапии. Медицинский альманах 2010; 2 (11): 182-184.
- Буянова С. Н., Щукина Н. А., Добровольская Т. Б. Аутоиммунные нарушения у гинекологических больных с острыми и хроническими гнойными заболеваниями органов малого таза и их коррекция. Российский вестник акушера-гинеколога 2004; 5: 30-33.
