ЗНАЧЕНИЕ ГИСТЕРОСКОПИИ И УЛЬТРАЗВУКОВОГО ИССЛЕДОВАНИЯ ОРГАНОВ МАЛОГО ТАЗА В ДИАГНОСТИКЕ ПАТОЛОГИИ ЭНДОМЕТРИЯ (НЕОПЕРАТИВНОЕ РЕШЕНИЕ)

Endometrial pathology represents a significant component of gynecological morbidity and is frequently implicated in cases of abnormal uterine bleeding, serving as a common indication for intrauterine procedures. Ultrasound examination (US) of the pelvic organs is critical for assessing endometrial status. However, it possesses inherent limitations that can lead to both overdiagnosis and underdiagnosis of conditions. In contrast, hysteroscopy (HS) markedly enhances the diagnostic and therapeutic capabilities concerning endometrial pathologies. This study conducted a retrospective analysis of 120 medical records of patients presenting with endometrial pathology, utilizing results from transvaginal ultrasound (TVUS). For patients of reproductive age, TVUS was performed during the early proliferative phase, followed by hysteroscopic resection and diagnostic curettage of the uterine cavity, with subsequent histopathological evaluation of the collected specimens. The findings indicate that TVUS has a lower diagnostic accuracy compared to HS in establishing a definitive diagnosis of intrauterine pathology. Consequently, it is recommended that follow-up TVUS be performed after the subsequent menstrual cycle to prevent unnecessary anesthesia and surgical interventions in reproductive-age patients.