ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG Ở NGƯỜI BỆNH LẠC NỘI MẠC TỬ CUNG ĐIỀU TRỊ TẠI BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN NĂM 2023 - 2024

Abstract

Objectives: Describe the clinical and paraclinical characteristics of patients with endometriois who treated at Nghe An General Frienship hospital in 2023 - 2024. Materials and method: Descriptive research design conducted on 42 patients with endometriois who treated at Nghe An General Frienship Hospital from 01/01/2023 – 30/04/2024. Results: A total of 42 patients with endometriosis, most (92.8%) had given birth; 59.5% are not using any contraceptive method, 23.8% are using intrauterine devices. Most of them had dysmenorrhea (95.2%) and/or non-cyclical pelvic pain (90.5%); 21.4% had painful intercourse, 31% had abnormal bleeding outside of menstruation and 28.6% have infertility; 38.1% have poorly mobile uterus through clinical examination. 90% of patients have CA125 concentration ≥ 35 UI/ml; 47.6% of endometriosis occurs in the ovaries, 47.6% is in the uterine muscle. The most common image on ultrasound in cases of ovarian endometriosis is the "hazy mirror" sign (68,2%); endometriosis in the myometrium, is the "mixed echo" or "heterogeneous" echo (45.0%). Conclusion: Endometriosis is common in people who have given birth. Common clinical features are dysmenorrhea and/or non-cyclical pelvic pain. Endometriosis is more common in the ovaries than in the myometrium. The most common image on ultrasound in cases of ovarian endometriosis is the "hazy mirror" sign