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P136Color flow mapping and Dopplerometry of myometrial and endometrial arteries in patients with hyperplasia and polyps
Author(s) -
Fedorova E. V.,
Lipman A. D.,
Khokhlova I. D.,
Pobedinski N. M.
Publication year - 2000
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2000.00004-1-135.x
Subject(s) - medicine , endometrium , endometrial polyp , basal (medicine) , blood flow , uterine artery , coronary arteries , hyperplasia , anatomy , artery , biology , pregnancy , gestation , insulin , genetics
Background The aim is to investigate the influence of the benign hyperplastic process of endometrium over the uterine blood flow resistance. Method The transvaginal ultrasound with Color Flow Mapping and Dopplerometry was used for examination of 90 patients (28 with hyperplasia, 30 with glandular and 32 with fibroid polyps) and of 30 healthy women (in 1st phase of menstrual cycle). Arteries visualization rate and values of Doppler indices for myometrial (the main uterine, arcuate, radial) and endometrial (basal, spiral) vessels were assessed. Results The main uterine and arcuate arteries were visualized in all cases. As crossing from feeding uterine vessels deeper to the endometrium, the tendency of reduction possibility of its visualization was marked. That probably corresponds with reduction of arteries size. The resistance indices were:HealthyHyperplasiaGlandular
polypsFibroid
polypsUterine arteries 0.88 0.81 0.83 0.83 Arcuate arteries 0.78 0.75 0.73 0.73 Radial arteries 0.71 0.68 0.67 0.63 Basal arteries 0.57 0.52 0.51 0.52 Spiral arteries – 0.53 0.50 – Polyp arteries0.58 0.49Conclusion Benign hyperplastic process of endometrium was accompanied by lowering Doppler indices values in all arteries in comparison with normal condition, that show intensification of the blood supply.