116 KB30 KB199420252004Eržen, PetraRibič-Pucelj, Martinaštevilka:2letnik:43str. 123-130ISSN:0025-8121COBISSID:18630617URN:URN:NBN:SI:doc-SRXYELXYslMedicinski razglediMedicinski razglediAbnormalitiesAbortion, HabitualabortusAbortus habitualniEtiologyginekologijaJajčnik, cistejajčnikiMaternicaOvarian CystsPolicistični jajčnik, sindromPolycystic Ovary SyndromeUltrasonographyultrazvočna diagnostikaUterusUltrazvočne značilnosti maternice in jajčnikov pri ženskah z zgodnjimi spontanimi splavi| Ultrasound characteristics of uterus and ovaries in women with early spontaneous abortions|In 71 women with clinically confirmed early spontaneous abortions we wanted tofind the ultrasound detectable morphological abnormalities of uterus and ovaries and to establish the frequency of these anomalies. For the detection of all morphological abnormalities we used a 7-MHz vaginal ultrasound probe Bruel and Kjaer in the luteal phase of the cycle. 23 (32.4%) of investigated women had normal ultrasound findings and 48 (67.6%) had pathological ones. Among the morphological abnormalities of uterus, 30 (42.3%) had minor or majorcongenital malformations and 7 (9.9%) had uterine fibroids. Among the morphological abnormalities of ovaries, 25 (35.2%) had polycystic ovaries and 3 (4.2%) had ovarian cysts. 15 (21.1%) of all investigated women had a combination of congenital uterine malformation and polycystic ovaries. Morphological abnormalities of the uterus and the ovaries represent without doubt an important and great risk factor for impaired pregnancy outcome. Congenital uterine malformations are important also in etiology of early spontaneous abortions and not only in the etiology of late spontaneous abortions and preterm delivery. Not only polycystic ovary syndrome but also polycystic ovaries are frequently found in women with early spontaneous abortions. A simultaneous occurence of congenital uterine malformation and polycystic ovaries, found in 15 (21.1%) of women, confirmed the previous clinical observationsPri 71 ženskah s klinično dokazanimi zgodnjimi spontanimi splavi smo ugotavljali ultrazvočno dokazljive morfološke nepravilnosti maternice in jajčnikov ter skušali določiti njihovo pogostnost. Vse morfološke nepravilnosti smo ugotavljali s 7-MHz vaginalno sondo (Bruel and Kjaer, Danska) v drugi polovici menstruacijskega ciklusa. Pri 23 (32,4%) pregledanih ženskah smo ugotovili normalen ultrazvočni izvid, pri 48 (67,6'%) pa bolezenskega. Med morfološkimi nepravilnostmi maternice smo pri 30 (42,3%) preiskovankah ugotovili blage ali večje razvojne nepravilnosti, pri 7 (9,9%) miome, med morfološkimi nepravilnostmi jajčnika pa pri 25 (35,2%) preiskovankah policistične jajčnike in pri 3 (4,2%) ciste. Pri 15 (21,1%) preiskovankah smo ugotovili kombinacijo razvojnih nepravilnosti maternice in policističnih jajčnikov. Nepravilnosti maternice in jajčnikov brez dvoma predstavljajo velik dejavnik tveganja za neuspešen izid nosečnosti. Razvojne nepravilnosti maternice so pomembne tudi kot vzrok zgodnjih spontanih splavov in ne le kot vzrok poznih spontanih splavov in prezgodnjih porodov. Pri ženskah z zgodnjimi spontanimi splavi so pogosti ne le sindrom policističnih jajčnikov, temveč tudi policistični jajčniki. Hkratno pojavljanje razvojnih nepravilnosti maternice in jajčnikov, ki smo ga ugotovili pri 15 (21,1%) ženskah, je potrdilo prejšnja klinična opažanjaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo Medicinski razgledi