PERICONCEPTIONAL REMODELING OF MYOMETRIUM AFTER SURGICAL INTERVENTIONS ON THE UTERUS: ULTRASONOGRAPHIC ASPECTS

The aim of the study is to evaluate the processes of the myometrium remodeling in women with the uterine scar using non-invasive ultrasonic monitoring. The study was conducted on the basis of Odessa regional perinatal center during 2016-2018. The total number of clinical cases included in the study was 113 women who delivered by surgery, as well as 289 women who were performed conservative myomectomy. All patients underwent transvaginal ultrasound investigation with a scanner of the expert class Accuvix V20 Prestige (Samsung Medison, Republic of Korea). It is shown that the frequency of relative insecurity of the uterine scar does not exceed 2.7% of the total number of the examined women. The ratio of the thickness of the residual in the plane of the scar and the normal endometrium indicates a complete remodeling and is this index was 0.96 ± 0.08 in the women after cesarean section (CS), and 0.94±0.06 (p>0.05) after myometectomy (CME). The difference in the maximum systolic velocity of the arterial blood flow in the patients after CR (38.8±1.2 cm/s) and after CME (34.2±1.4 cm/sec, p<0.05) can be explained by differences in localization of incisions during these surgical interventions. The expediency of using both linear and dopplerometric methods of ultrasound examination in evaluating the ability of the uterine scar and myometrium remodeling processes is discussed.