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Date Published: 17/03/2023
Abstract Views: 479
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DOI: https://doi.org/10.51298/vmj.v524i1A.4628
Issue
Vol. 524 No. 1A (2023)
Section
Các bài báo
How to Cite
Hoàng, Đình Âu, & Doãn, V. N. . (2023). THE ROLE OF ULTRASOUND IN THE DIAGNOSIS AND EVALUATION OF UTERINE FIBROIDS BEFORE TREATMENT. Vietnam Medical Journal, 524(1A). https://doi.org/10.51298/vmj.v524i1A.4628

THE ROLE OF ULTRASOUND IN THE DIAGNOSIS AND EVALUATION OF UTERINE FIBROIDS BEFORE TREATMENT

Đình Âu Hoàng1,, Văn Ngọc Doãn2,3
1 Hanoi medical university hospital
2 VNU - School of Medicine and Pharmacy
3 E hospital

Main Article Content

Abstract

Purposes: Study on 78 uterine fibroid patients treated at hospital E during the period from January 2019 to April 2020. Results: mean age 45.3 ± 5.2, age group from 35-50 was 79.5%, lower abdominal pain 46.1%, abnormal vaginal bleeding 38.5%, clinical examination: the uterus was as large as 9-12 weeks pregnant have the rate of 55.1%, uterine fibroids with hypoechoic characteristics accounted for 61.5%, 91.0% borderline, no fibrosis 89.7%, no angiogenesis 92.3%, fibroids in the uterine body accounted for the highest rate 92.2%, in muscle 90.7%, most had 1 tumor 61 .5%, average size is 75.2 ± 28.3mm, mass with size from 50-100mm accounts for the highest rate 66.7%, size of uterine fibroids according to ultrasound and size of uterus Clinical examination had a linear correlation with R = 0.693 (p < 0.001), ultrasound diagnosis of uterine fibroids has an accuracy of 93.1%. Conclusion: Ultrasonography has high accuracy in diagnosing uterine fibroids, helping to assess the number, location, size of uterine fibroids and preoperative pelvic overview, uterine size through clinical examination with size. Uterine fibroids on ultrasound have a fairly close correlation.

Article Details

Keywords

Uterine fibroids, ultrasound, surgery

References

1. N.D. Anh, Uterine Fibroids, Textbook of Obstetrics and Gynecology, Hanoi National University Press, 2016, pp. 257–261.
2. A. Toma A, W.M. Hopman, R.H. Gorwill, Hysterectomy at a Canadian Tertiary Care Facility: Results of a One Year Retrospective Review. BMC Womens Health. Vol 4, No. 1, 2004, https://doi.org/10.1186/1472-6874-4-10.
3. J.W. Shin, H.H. Lee, S.P. Lee et al, Total Laparoscopic Hysterectomy and Laparoscopy-Assisted Vaginal Hysterectomy. JSLS. Vol. 15, No 2, 2011, pp. 218–221, https://doi.org/ 10.4293/108680811x13071180406394.
4. N.V. Dong, Study on the Results of Hysterectomy Due to Uterine Fibroids by Laparoscopic Surgery at Thanh Hoa Obstetrics and Gynecology Hospital. Thesis of Master of Medicine. Hanoi Medical University, 2017.
5. D.D. Baird, D.B. Dunson, M.C. Hill et al, High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence, Am J Obstet Gynecol. Vol. 188, No. 1, 2003, pp. 100-107, https://doi.org/10.1067/mob.2003.99.
6. T.T. Huong, Research on the Results of Hysterectomy Due to Uterine Fibroids by Laparoscopic Surgery at the Hospital 108. Graduate Thesis of Specialist Doctor II. Hanoi Medical University, 2012.
7. N.V. Luu. Research on the Results of Laparoscopic Hysterectomy at Hospital 198 - Ministry of Public Security. Thesis of Master of Medicine, Hanoi Medical University, 2014.
8. N.T. Hoa, Research on Characteristics and Management of Uterine Fibroids in Pregnant Women Giving Birth at the National Hospital of Obstetrics and Gynecology in 2014 - 2015. Master's Thesis. Hanoi Medical University, 2016.
9. R. Zhao, X. Wang, L. Zou et al, Adverse Obstetric Outcomes in Pregnant Women With Uterine Fibroids in China: A Multicenter Survey Involving 112,403 Deliveries. PLOS ONE. Vol 12, No. 11, 2017, e0187821, https://doi.org/10.1371/journal.pone.0187821.
10. N.T. Trang, Research on Clinical and Subclinical Characteristics and Treatment Attitude of Uterine Fibroids in Pregnant Women Giving Birth at the National Hospital of Obstetrics and Gynecology. Thesis Doctor of Specialization Level II. Hanoi Medical University, 2019.