Histological research methods of endometrial hyperplasia
The main method of diagnosis is a separate diagnostic curettage of the endometrium with subsequent histological examination of the material obtained.
uterine curettage performed eitheron the eve of the expected menstruation or at the beginning of occurrence of bleeding. In the diagnosis of endometrial hyperplasia endometrial scraping should be carried out very carefully, with the removal of all the mucous membrane completely. This is necessary due to the fact that the centers of adenomatosis and polyps are often located in the bottom of the uterus and fallopian tube angles.
Erased by scraping the mucosauterus sent for histological examination, that is the study samples of body tissues. During the histological examination of the doctor-pathologist, taking into account the data on the age of the patient, her complaints, the main symptoms, the nature of the menstrual cycle, duration of disease, clinical diagnosis, assess histological data.
Histological examination at the momentis the most reliable method of diagnosis of endometrial hyperplasia and determine its shape (glandular-cystic hyperplasia, atypical hyperplasia, adenomatosis presented diffuse, focal, polyps can be glandular, adenomatous, fibrous).
For a more accurate diagnosis of endometrial curettage can be performed under the supervision of hysteroscopy, ie using a special magnifying instrument called a hysteroscope.
The use of hysteroscopy in the diagnosis of endometrial hyperplasia helps to examine in more detail the state of the endometrium and monitor the results of the therapy.
After scraping produced by its qualityalso estimated using hysteroscopic study, it allows you to remove the remnants of endometrial hyperplasia or polyps, identify concomitant intrauterine pathology.
Liquid hysteroscopy, which is used most frequently, allowing to perform a number of intrauterine operations, use of electric and laser surgery.
In order to implement the control treatmentendometrial hyperplasia, as well as dispensary examination of women, applies this method as a diagnostic aspiration (ie suction using special instruments) the contents of the uterus, followed by cytology.
Aspiration is conducted in compliance with the rulesaseptic, in the second half of the menstrual cycle. This test can not be used to determine the nature of endometrial hyperplasia, its capabilities are limited to determining the presence or absence of pathology.
An important role in the diagnosis of endometrial hyperplasiacurrently plays ultrasonography (US) with a vaginal probe, which allows you to determine the nature of endometrial hyperplasia echoes.
In particular, the presence of endometrial hyperplasiaIt may indicate the thickness of the endometrium, which is easily determined by ultrasound. As for endometrial polyps, when they are visible on ultrasound sonogram as rounded or elongated oval structures with a precise contour and a thin bezel on the background ehonegativnoe expanded uterus.
Finally, it is now becoming increasingly important to a method of diagnosis of endometrial hyperplasia of the uterus as a radioisotope study.
With this diagnostic analysis can determine not only the presence of endometrial hyperplastic processes, but also the degree of their activity.
For radiometric studies are commonly used indicator doses of radioactive phosphorus.
A thorough diagnostic examination asusually it includes a whole range of diagnostic methods. In the modern development of medicine endometrial hyperplasia is diagnosed quite easily, and therefore, increases the likelihood that the patient will be completely and quickly cured of the unpleasant consequences of this disease.