[Ultrasound assessment of uterine myomas in pregnancy].
OBJECTIVE
Visualisation of myomas in pregnancy and evaluation of their dimension, localisation and echogenic structure are essential to establish the proper diagnosis and further therapeutic management.


METHODS
Our goal was to define a diagnostic value of ultrasound examinations for uterine myomas assessment during pregnancy.


METHODS
The study group included 53 women with uterine myomas which were visualised in ultrasound examination before pregnancy or during first and second trimester.


RESULTS
During third trimester the presence of uterine myomas were observed in 40 cases what is 75.5% of all examined women. The difference of 6.1 mm in the mean values of measured diameters was obtained in comparison of ultrasound examination and intraoperative evaluation (7.6% of mean value diameter). It was found a statistically significant correlation between ultrasonic and intraoperative myomas diameters evaluation (p < 0.01).


CONCLUSIONS
1. The accuracy of ultrasonic measurements completes the knowledge about presence and size of uterine myomas what is of great importance to establish proper diagnosis and mode of delivery. 2. Difficulties in ultrasound visualisation of myomas situated on the posterior uterine wall were noticed during third trimester. Limited role of ultrasound examination was observed in assessment of uterine myomas during third trimester.
Sieroszewski
Piotr
P
Instytutu Ginekologii i Połoznictwa Akademii Medycznej w Łodzi.
Suzin
Jacek
J
Kowalska-Koprek
Urszula
U
Kazimierak
Wojciech
W
Karowicz-Bilińska
Agata
A
D000328:Adult; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging*; D011044:Poland / Q000453:epidemiology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000000981:diagnostic imaging*; D011261:Pregnancy Trimester, First; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D012680:Sensitivity and Specificity; D016216:Ultrasonography, Prenatal / Q000295:instrumentation / Q000379:methods; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging*