SUBENDOMETRIAL CONTRACTILITY IN MENSTRUAL PHASE VISUALIZED BY TRANSVAGINAL SONOGRAPHY IN PATIENTS WITH ENDOMETRIOSIS

被引:88
作者
SALAMANCA, A [1 ]
BELTRAN, E [1 ]
机构
[1] UNIV GRANADA,SCH MED,DEPT OBSTET & GYNECOL,GRANADA,SPAIN
关键词
MYOMETRIAL CONTRACTILITY; TRANSVAGINAL SONOGRAPHY; ENDOMETRIOSIS;
D O I
10.1016/S0015-0282(16)57680-8
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To describe the propagation direction of the subendometrial myometrial contractile wave in menstrual phase sonographically assessed in patients with and without endometriosis. Design: Prospective study. Setting: Patients and normal volunteers in a university hospital. Patients: Sixteen women with (study group) and 21 without (control group) endometriosis. Interventions: Patients were examined by transvaginal sonography (midsagittal plane of the uterus) and recorded on videotape for a 5-minute period. Main Outcome Measure: Direction of propagation of contraction waves. Results: The endometriosis group showed a predominant retrograde pattern whereas the control group showed a normal antegrade. Conclusion: This abnormal cervix-to-fundus myometrial activity could well increase the amount of peritoneal shedding of endometrial menstrual debris, increasing the probabilities of its heterotopic implantation.
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页码:193 / 195
页数:3
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