• Optimization of pregravidare training of women with hysteromyoma
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Optimization of pregravidare training of women with hysteromyoma

HEALTH OF WOMAN. 2017.7(123):59–60; doi 10.15574/HW.2017.123.59

Dovgan A. A.
National Medical Academy of Postgraduate Education P. L. Shupyk, Kiev

The objective: to improve tactics of pregravidare training of women with hysteromyoma.
Patients and methods. Under observation there were 100 patients of active and late genesial age (from 22 to 44 years), with the main diagnosis hysteromyoma established on the basis of complex inspection. To all patients the conservative myomectomy by laparotomny that laparoscopic accesses out of pregnancy was made, a course of complex rehabilitational therapy in the early and late postoperative period is conducted, the next and remote results are tracked.
Results. Efficiency of pregravidarny training of patients with a hysteromyoma made 67.0%, thus authentically larger frequency of offensive of pregnancy is noted in group of the patients receiving in the postoperative period therapy by agonists of GNRG (73.0%), including at women with genesial problems (52.0%). Besides, purpose of agonists of GNRG after operation allows to reduce number of recurrence of a disease in the remote period.
Conclusions. The advanced technique of pregravidarny preparation allows to improve the genesial forecast of women with hysteromyoma.
Key words: hysteromyoma, pregravidarny preparation, optimization.

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