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№2' 2014
OBSTETRICS AND GYNECOLOGYInternational Medical Journal, Vol. 20., Iss. 2, 2014, P. 58−64.
CURRENT CLINICAL AND PATHOGENETIC ASPECTS OF DIAGNOSIS AND TREATMENT OF PATIENTS WITH CERVICAL ECTOPIA
Kharkiv National Medical University
Kyiv City Maternity Hospital No. 5
Reproductive health of the women is an urgent medical social problem. Due to the high incidence of cervical pathology the authors characterize the peculiarities of the clinical manifestations of cervical ectopia. It was found that patients with cervical ectopia are characterized by multiple symptoms (profuse genital discharge, genital itching, hyperemia, contact bleeding, etc.), early sexual debut, low frequency of using barrier methods of contraception, existence of 2 or more partners.They more often had various gynecological diseases: colpitis, salpingoophoritis, ovarian cysts, and every second patient with cervical ectopia had an average of 2−3 gynecological diseases simultaneously. Various somatic diseases were significantly more frequently recorded among these patients. Disorders of the gastrointestinal tract (gastritis, colitis, cholecystitis), pathology of the urinary system were registered more frequently. The results obtained studying microcirculation in patients using laser Doppler flowmetry demonstrated disturbances in the basal circulation in all patients with cervical ectopba, manifested by the decrease in microcirculation parameters. Combination of radiosurgical treatment and ozone procedures lead to the improvement in the microcirculation positively effecting subsequent process of healing as well as improving the treatment results as a whole.
Key words: cervical ectopia, somatic disorders, gynecological anamnesis, laser Doppler flowmetry.