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[Ultrasound assessment of uterine myomas in pregnancy]
Piotr Sieroszewski1, Jacek Suzin, Urszula Kowalska-Koprek
1Instytutu Ginekologii i Połoznictwa Akademii Medycznej w Łodzi.
Objective:
Visualisation of myomas in pregnancy and evaluation of their dimension, localisation and echogenic structure are essential to establish the proper diagnosis and further therapeutic management.
Design:
Our goal was to define a diagnostic value of ultrasound examinations for uterine myomas assessment during pregnancy.
Materials And Methods:
The study group included 53 women with uterine myomas which were visualised in ultrasound examination before pregnancy or during first and second trimester.
Results:
During third trimester the presence of uterine myomas were observed in 40 cases what is 75.5% of all examined women. The difference of 6.1 mm in the mean values of measured diameters was obtained in comparison of ultrasound examination and intraoperative evaluation (7.6% of mean value diameter). It was found a statistically significant correlation between ultrasonic and intraoperative myomas diameters evaluation (p < 0.01).
Conclusions:
1. The accuracy of ultrasonic measurements completes the knowledge about presence and size of uterine myomas what is of great importance to establish proper diagnosis and mode of delivery. 2. Difficulties in ultrasound visualisation of myomas situated on the posterior uterine wall were noticed during third trimester. Limited role of ultrasound examination was observed in assessment of uterine myomas during third trimester.
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