DIAGNOSTIC ULTRASOUND IN THE STAGING OF EXTERNAL GENITAL ENDOMETRIOSIS
P urpose. To study possibility of US investigation for endometriosis staging by AFS classification, check accuracy, benefits, sensitivity and specificity of method. Materials and methods. 360 reproductive age patient were enrolled in the study. Main group 260 patient was divided into 3 subgroups: 1a (n=60) in age 1830 y.o., 1b (n=100) in age 3140 y.o., 1c (n=100) in age 4149. In control group we include 100 patients without endometriosis. We use rAFS classification for disease staging. All patients underwent US investigation of pelvis and kidneys. Results. Patients in main and control group were comparable by age 37,1±7,3 y.o. in main group and 35,9±6,7 y.o. in control group (p≤0,05). We did not find any evidence between prevalence of endometriosis and patients age. Primary infertility was detected in 1agroup among 11 patients (18%), sterility II in 21 case (35%), in 1bgroup - St I in 51 (51%) and St II in 17 (17%), in 1cgroup St I in 18 (18%) and St II in 48 (48%), respectively. DIE incidence was higher in young and middle reproductive age patients but isolated bowel lesions detection was higher in group 3 patients. Ureter stenosis and kidney abstraction were detected in 2% of cases. Sensitivity of method was 100%, specificity was 90100%. Conclusion. In reproductive age most common location of endometriosis lesions are ovaries and peritoneum and uncommon location is uterus, in old reproductive age most common location is uterus and uncommon location are ovaries and peritoneum.