urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.52420/umj.24.1.26CTWXUIurmj-1722Research ArticleОригинальные статьи | Original articlesOriginal articlesКлинико-анамнестические и диагностические особенности у пациенток с эндометриозом различных стадий и локализацииClinical, Anamnestic and Diagnostic Features of Patients with Different Stages and Localization of Endometriosishttps://orcid.org/0000-0002-0357-7097БариновС. В.BarinovS. V.

Сергей Владимирович Баринов — доктор медицинских наук, профессор, заведующий кафедрой акушерства и гинекологии № 2

Омск

Sergey V. Barinov — Doctor of Sciences (Medicine), Professor, Head of the Department of Obstetrics and Gynecology No. 2

Omsk

barinov_omsk@mail.ruhttps://orcid.org/0000-0002-0895-4066ЛазареваО. В.LazarevaO. V.

Оксана Вячеславовна Лазарева — кандидат медицинских наук, доцент кафедры акушерства и гинекологии № 2

Омск

Oksana V. Lazareva — Candidate of Sciences (Medicine), Associate Professor of the Department of Obstetrics and Gynecology No. 2

Omsk

lazow@mail.ruhttps://orcid.org/0000-0001-5365-7119ТирскаяЮ. И.TirskayaYu. I.

Юлия Игоревна Тирская — доктор медицинских наук, доцент, профессор кафедры акушерства и гинекологии № 2

Омск

Yuliya I. Tirskaya — Doctor of Sciences (Medicine), Associate Professor, Professor of the Department of Obstetrics and Gynecology No. 2

Omsk

yulia.tirskaya@yandex.ruhttps://orcid.org/0000-0002-0348-5985КадцынаТ. В.KadtsynaT. V.

Татьяна Владимировна Кадцына — кандидат медицинских наук, доцент кафедры акушерства и гинекологии № 2

Омск

Tatyana V. Kadtsyna — Candidate of Sciences (Medicine), Associate Professor of the Department of Obstetrics and Gynecology No. 2

Omsk

tatianavlad@list.ruhttps://orcid.org/0000-0003-2541-7091ЧуловскийЮ. И.TshulovskyYu. I.

Юрий Игоревич Чуловский — кандидат медицинских наук, доцент, доцент кафедры акушерства и гинекологии № 2

Омск

Yurij I. Tshulovsky — Candidate of Sciences (Medicine), Associate Professor of the Department of Obstetrics and Gynecology No. 2

Omsk

akusheromsk@rambler.ruhttps://orcid.org/0000-0002-0433-8960ХорошкинЕ. А.KhoroshkinYe. A.

Егор Андреевич Хорошкин — клинический ординатор кафедры акушерства и гинекологии № 2

Омск

Yegor A. Khoroshkin — Clinical Resident of the Department of Obstetrics and Gynecology No. 2

Omsk

drrussian@mail.ruhttps://orcid.org/0000-0001-6080-1828ШкабарняЛ. Л.ShkabarnyaL. L.

Людмила Леонидовна Шкабарня — заведующий отделением гинекологии, перинатальный центр

Омск

Lyudmila L. Shkabarnya — Head of the Department of Gynecology, Perinatal Centre

Omsk

l_shka@mail.ruhttps://orcid.org/0009-0006-3824-8249ЭллертА. Н.EllertA. N.

Алёна Николаевна Эллерт — акушер-гинеколог отделения гинекологии, перинатальный центр

Омск

Alyona N. Ellert — Obstetrician-Gynecologist of the Department of Gynecology, Perinatal Centre

Omsk

akusheromsk@rambler.ruhttps://orcid.org/0009-0001-5036-5046СидоринаИ. И.SidorinaI. I.

Ирина Игоревна Сидорина — акушер-гинеколог отделения гинекологии, перинатальный центр

Омск

Irina I. Sidorina — Obstetrician-Gynecologist of the Department of Gynecology, Perinatal Centre

Omsk

akusheromsk@rambler.ruОмский государственный медицинский университетРоссияOmsk State Medical UniversityRussian FederationОбластная клиническая больницаРоссияRegional Clinical HospitalRussian Federation20250203202524126–38Copyright © Баринов С.В., Лазарева О.В., Тирская Ю.И., Кадцына Т.В., Чуловский Ю.И., Хорошкин Е.А., Шкабарня Л.Л., Эллерт А.Н., Сидорина И.И., 20252025Баринов С.В., Лазарева О.В., Тирская Ю.И., Кадцына Т.В., Чуловский Ю.И., Хорошкин Е.А., Шкабарня Л.Л., Эллерт А.Н., Сидорина И.И.Barinov S.V., Lazareva O.V., Tirskaya Y.I., Kadtsyna T.V., Tshulovsky Y.I., Khoroshkin Y.A., Shkabarnya L.L., Ellert A.N., Sidorina I.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/1722

Цель исследования — выявить особенности анамнестических, клинических, лабораторных и инструментальных данных у пациенток с эндометриозом различной стадии и локализации.Материалы и методы. Проведено ретроспективное контролируемое исследование, в которое вошло 99 пациенток с наружным генитальным эндометриозом, разделенных на 3 группы: A1 (n = 34) — женщины с глубоким инфильтративным эндометриозом (ГИЭ); A2 (n = 17) — эндометриозом II–IV стадий по rASRM без инфильтрации; B (n = 48) — эндометриозом яичников I–II стадий.Результаты. Выраженность боли по визуально-аналоговой шкале составила 4,00 [3,00; 6,00] балла: A1 — 5,00 [4,00; 6,75]; A2 — 6,00 [4,00; 7,00]; B — 4,00 [2,00; 5,50] (p = 0,050). Продолжительность клинических проявлений эндометриоза составила 8 [3; 36] месяцев: A1 — 12 [6; 36]; A2 — 24 [7; 60]; B — 6 [1; 24] (p = 0,010). По результатам УЗИ увеличение придатков выявлено у 86/99 пациенток: A1 — 27/34; A2 — 11/17; B — 48/48 (p = 0,009). Интраоперационно спайки в малом тазу обнаружены у 86/99 пациенток: A1 и A2–48/51; B — 38/48 (p = 0,028).Заключение. У женщин с ГИЭ и распространенным эндометриозом без инфильтрации отмечается более выраженная боль, чем у пациенток с эндометриомами. Выраженность боли у пациенток с наружным генитальным эндометриозом не зависит от наличия спаек в малом тазу. Спайки чаще обнаруживается у пациенток с эндометриозом тяжелой стадии. УЗИ является эффективным методом диагностики эндометриом, а также ГИЭ.

The aim of the study — to find the features of the history, symptoms, laboratory and ultrasound data in patients with different stages and localization of endometriosis.Materials and methods. This retrospective controlled study included 99 patients with different stages according to the rASRM and localization of endometriosis who were divided into 3 groups: A1 (n = 34) — women with deep infiltrating endometriosis (DIE); A2 (n = 17) — with stages III–IV endometriosis without infiltration; B (n = 48) — with stages I–II ovarian endometriosis (OMA).Results. The severity of pain according to the visual analogue scale was 4 [3; 6]: A1 — 5.00 [4.00; 6.75]; A2 — 6.00 [4.00; 7.00]; B — 4.00 [2.00; 5.50] (p = 0.050). The duration of the symptoms of endometriosis was 8 [3; 36] months: A1–12 [6; 36]; A2 — 24 [7; 60]; B — 6 [1;24] (p = 0.010). According to the transvaginal ultrasound enlargement of the adnexa was found in 86/99 patients: A1 — 27/34; A2 — 11/17; B — 48/48 patients (p = 0.009). Intraoperatively adhesions were found in 86/99 patients: A1 & A2 — 48/51; B — 38/48 patients (p = 0.028).Conclusion. Women with DIE and stages III–IV endometriosis have a more severe chronic pelvic pain than women with stages I–II OMA. The severity of pain has no connection with the presence of intrapelvic adhesions. Adhesions of the pelvic organs are more often found in women with stages III–IV endometriosis. Transvaginal ultrasound is an effective imaging method for diagnosing OMA and DIE.

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The authors declare that there are no conflicts of interest present.