Клинико-анамнестические и диагностические особенности у пациенток с эндометриозом различных стадий и локализации

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.

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