гинекология с обл без приложения

10 ПРАКТИЧЕСКАЯ МЕДИЦИНА
‘7 (108) сентябрь 2017 г.
45х39 мм. В проекции шейки по передней стенке
визуализируется миоматозный узел 58 мм. Толщина
эндометрия 13 мм. Правый яичник 30х155 мм,
левый — 28х15 мм. Жидкость в позадиматочном
пространстве шириной 8 мм.
Решено провести ЭМА с последующей гистерэктомией,
учитывая прогрессирующую БРКС, наличие
атипичной миомы и отсутствие необходимости
сохранения репродуктивной функции. Диагноз
подтвердился полностью. Рубец на матке был толщиной
менее 1 мм, пронизан сосудами, которые
лучами расходились от вросшего плодного яйца.
Гистологически подтверждена и миома матки. Послеоперационный
период прошел гладко.
Таким образом, беременность в рубце на матке
— это новые реалии, с которыми приходится сталкиваться
практикующим врачам в условиях частого
использования родоразрешения путем операции
кесарева сечения. Знание и применение методов
лечения с доказанной эффективностью является
залогом предотвращения смертельных осложнений
и материнской смертности.
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