[The complex diagnosis of certain forms of uterine pathology after labor as the prevention of late puerperal complications].
Two groups of puerperae, group 1, n = 1000 and group 2, n = 860, were examined on days 3-4 and 5-6 after spontaneous delivery. Echography, hysteroscopy, bacteriological studies, local thermometry, measurements of the level of medium-sized molecules were used to diagnose postpartum endometritis and uterine subinvolution. In group 1 subinvolution of the uterus was diagnosed in 10.5% and postpartum endometritis in 4.8% of puerperae, in group 2 in 11 and 5.1% of examinees, respectively. In group 1 surgical treatment of the uterus was carried out in patients with uterine involution or postpartum endometritis, in group 2 such treatment was administered only to patients with postpartum endometritis on the basis of material substrate. Findings of local thermometry and levels of medium-sized molecules in patients with uterine subinvolution indicate a catabolic trend of metabolic processes. Surgical treatment of the uterus in subinvolution helped reduce the incidence of postpartum complications by 3.4 times.
Usanov
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D003656:Decidua / Q000000981:diagnostic imaging; D004716:Endometritis / Q000175:diagnosis; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D011644:Puerperal Disorders / Q000517:prevention & control*; D013997:Time Factors; D014463:Ultrasonography; D014591:Uterine Diseases / Q000175:diagnosis*; D014599:Uterus / Q000000981:diagnostic imaging
Kompleksnaia diagnostika nekotorykh form patologii matki posle rodov kak profilaktika pozdnikh poslerodovykh oslozhneniĭ.