usfdУльтразвуковая и функциональная диагностикаUltrasound & Functional Diagnostics1607-07712408-9494RDS-Media Ltd.10.24835/1607-0771-268usfd-268Research ArticleУльтразвуковая диагностика в акушерстве и гинекологииObstetrics and Gynecology UltrasoundУльтразвуковое исследование параметрия у пациенток с глубоким эндометриозомParametrium ultrasound in patients with deep endometriosishttps://orcid.org/0000-0002-6145-8205БуряковаС. И.BuryakovaS. I.

Бурякова Снежана Игоревна – канд. мед. наук, доцент кафедры ультразвуковой и пренатальной диагностики Академии постдипломного образования ФГБУ ФНКЦ ФМБА России, Москва

Snezhana I. Buryakova – Сand. of Sci. (Med.), Assistant Professor, Department of ultrasound and prenatal diagnosis of Academy of Postgraduate Education under the Federal Research and Clinical Center of the Federal Medical-Biological Agency, Moscow

snezhanaburyakov@mail.ruhttps://orcid.org/0000-0002-5477-7611АлтынникН. А.AltynnikN. A.

Алтынник Наталья Анатольевна – доктор мед. наук, профессор, заведующая кафедрой ультразвуковой и пренатальной диагностики Академии постдипломного образования ФГБУ ФНКЦ ФМБА России, Москва

Natalia A. Altynnik – Doct. of Sci. (Med.), Head of the Department of ultrasound and prenatal diagnosis of Academy of Postgraduate Education under the Federal Research and Clinical Center of the Federal Medical-Biological Agency, Moscow, Russia

natalia_altynnik@mail.ruhttps://orcid.org/0000-0001-8928-3454КабешовА. М.KabeshovA. M.

Кабешов Александр Михайлович – хирург Центра хирургии эндометриоза, ООО “Клиника Фомина Мичуринский”, Москва

Aleksandr M. Kabeshov – surgeon at the Endometriosis Surgery Center, Fomin clinic, Moscow, Russia

kabeshovalexander@gmail.comФГБУ “Федеральный научный клинический центр специализированных видов медицинской помощи и медицинских технологий Федерального медико-биологического агентства” Российской ФедерацииFederal Scientific Clinical Center for Specialized Medical Care and Medical Technologies, Federal Medical-Biological Agency (FMBA of Russia)ООО “Клиника Фомина Мичуринский”Fomin clinic2024200620240291100Copyright © Бурякова С.И., Алтынник Н.А., Кабешов А.М., 20242024Бурякова С.И., Алтынник Н.А., Кабешов А.М.Buryakova S.I., Altynnik N.A., Kabeshov A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://usfd.rdsmedia.ru/jour/article/view/268

Эндометриоз параметрия представляет собой тяжелую форму заболевания, связанную с вовлечением в инфильтративный процесс мочеточников и нервов малого таза, что может приводить к нарушениям функций мочевыделительной системы, кишечника и сексуальной дисфункции. Хирургическое вмешательство в таких случаях требует сложного мультидисциплинарного подхода, планирование которого возможно только после детальной предоперационной диагностики. В статье приводится обзор современных международных рекомендаций по ультразвуковой оценке параметрия. Для демонстрации возможностей ультразвукового исследования представлены собственные эхограммы параметрия в норме и при глубоком эндометриозе.

Parametrial endometriosis is a severe form of the disease associated with the involvement of the ureters and pelvic nerves, which leads to sexual, urinary, and intestine dysfunction. Surgery in such cases requires a complex multidisciplinary approach, which can be planned only with a detailed preoperative diagnosis. The article presents a review of current international guidelines for parametrium ultrasound. The capabilities of ultrasound are demonstrated by our own ultrasound images of normal parametrium and in deep endometriosis.

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The authors declare that there are no conflicts of interest present.