usfdУльтразвуковая и функциональная диагностикаUltrasound & Functional Diagnostics1607-07712408-9494RDS-Media Ltd.10.24835/1607-0771-382usfd-382Research ArticleУльтразвуковая диагностика в акушерстве и гинекологииObstetrics and Gynecology UltrasoundУльтразвуковая диагностика аденомиоза. Обзор литературы и собственные клинические наблюденияUltrasound Diagnosis of Adenomyosis: A Literature Review and Clinical Caseshttps://orcid.org/0000-0002-4667-6298БорисоваЕ. А.BorisovaE. A.

Борисова Елена Анатольевна – канд. мед. наук, ассистент кафедры оперативной гинекологии Института последипломного образования ФГБОУ ВО “Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого” Минздрава России; врач ультразвуковой диагностики ООО “МедикоПрофи” – “Лечебно-диагностическая клиника Борисовых”, Красноярскhttp://orcid.org/0000-0002-4667-6298E-mail: borisova2209@rambler.ru

Elena A. Borisova – MD, PhD (Med.), assistant of the Department of operative gynecology of the Institute of postgraduate education of the Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; ultrasound diagnostics doctor, LLC “MedikoProfi” – “Borisov Diagnostic and Treatment Clinic”,  Krasnoyarskhttps://orcid.org/0000-0002-4667-6298

borisova2209@rambler.ruhttps://orcid.org/0000-0001-8295-768XБулановМ. Н.BulanovM. N.

Буланов Михаил Николаевич – доктор мед. наук, заведующий отделением ультразвуковой диагностики ГБУЗ ВО “Областная клиническая больница”, Владимир; профессор кафедры внутренних болезней Института медицинского образования ФГБОУ ВО “Новгородский государственный университет имени Ярослава Мудрого”, Великий Новгородhttps://orcid.org/0000-0001-8295-768X

Mikhail N. Bulanov – MD, Doct. of Sci. (Med.), Head of Ultrasound Diagnostics Department, Regional Clinical Hospital, Vladimir; Professor, Division of Internal Medicine, Institute of Medical Education, Yaroslav-the-Wise Novgorod State University, Veliky Novgorodhttps://orcid.org/0000-0001-8295-768X

doctorbulanov@gmail.comhttps://orcid.org/0000-0002-2899-8103МакаренкоТ. А.MakarenkoT. A.

Макаренко Татьяна Александровна – доктор мед. наук, профессор, заведующая кафедрой оперативной гинекологии Института последипломного образования ФГБОУ ВО “Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого” Минздрава России, Красноярскhttps://orcid.org/0000-0002-2899-8103 

Tatyana A. Makarenko – MD, Doct. of Sci. (Med.), Professor, Head of the Department of operative gynecology of the Institute of postgraduate education of the Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarskhttps://orcid.org/0000-0002-2899-8103 

ФГБОУ ВО “Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого” Минздрава России, Красноярск; ООО “МедикоПрофи” – “Лечебно-диагностическая клиника Борисовых”, КрасноярскРоссияProf. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University of the Ministry of Healthcare of the Russian Federation, Krasnoyarsk; LLC “MedikoProfi” – “Borisov Diagnostic and Treatment Clinic”, KrasnoyarskRussian FederationГБУЗ Владимирской области “Областная клиническая больница”, Владимир; ФГБОУ ВПО “Новгородский государственный университет имени Ярослава Мудрого”, Великий НовгородРоссияRegional Clinical Hospital, Vladimir; Institute of Medical Education, Yaroslav-the-Wise Novgorod State University, Veliky NovgorodRussian FederationФГБОУ ВО “Красноярский государственный медицинский университет имени профессора В.Ф. Войно-Ясенецкого” Минздрава России, КрасноярскРоссияProf. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University of the Ministry of Healthcare of the Russian Federation, KrasnoyarskRussian Federation2026240920263236279Copyright © Борисова Е.А., Буланов М.Н., Макаренко Т.А., 20262026Борисова Е.А., Буланов М.Н., Макаренко Т.А.Borisova E.A., Bulanov M.N., Makarenko T.A.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/382

Обзор посвящен возможностям ультразвуковой диагностики аденомиоза. В течение 45 лет было опубликовано очень большое количество печатных работ, посвященных этому вопросу. К настоящему времени различными авторами предложено не менее 20 ультразвуковых критериев аденомиоза. Наибольшее практическое значение в настоящее время имеют прямые и косвенные ультразвуковые признаки аденомиоза, предложенные международным консенсусом MUSA. Диагностическая ценность ультразвукового исследования при диагностике аденомиоза, по данным различных авторов, составляет: чувствительность 72–91%; специфичность 49–90%; прогностическая ценность положительного результата 72–82%; прогностическая ценность отрицательного результата 49–80%; точность 56–63%. Наблюдается корелляция между ультразвуковыми признаками аденомиоза и клиническими проявлениями заболевания (в том числе между тяжестью клинических проявлений и количеством ультразвуковых признаков), хотя эту точку зрения поддерживают не все авторы. 

This review addresses the utility of ultrasound in the diagnosis of adenomyosis. Over the past 45 years, the topic has been extensively covered in the literature. To date, at least 20 ultrasound criteria for adenomyosis have been proposed by various research groups. Currently, the most clinically relevant are the direct and indirect ultrasound features of adenomyosis as delineated by the MUSA (Morphological Uterus Sonographic Assessment) international consensus. Reported diagnostic value for ultrasound in adenomyosis detection vary across studies: sensitivity ranges from 72 % to 91 %, specificity from 49 % to 90 %, positive predictive value (PPV) from 72 % to 82 %, negative predictive value (NPV) from 49 % to 80 %, and accuracy from 56 % to 63 %. A correlation between ultrasound findings and clinical manifestations of adenomyosis has been described (including an association between the severity of symptoms and the number of detected imaging features), although this relationship remains a subject of debate among experts.

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