akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347/ob.gyn.rep.2023.464akusherstvo-1866Research ArticleREVIEW ARTICLESНАУЧНЫЕ ОБЗОРЫEndometrial hyperplastic processes: modern approaches to diagnosis and treatmentГиперпластические процессы эндометрия: современные подходы к диагностике и лечениюhttps://orcid.org/0000-0002-3175-4847СвиридоваН. И.SviridovaN. I.

Свиридова Наталия Ивановна – д.м.н., доцент, зав. кафедрой акушерства и гинекологии Института непрерывного медицинского и фармацевтического образования

400131 Волгоград, площадь Павших Борцов, д. 1

Natalia I. Sviridova – MD, Dr Sci Med, Associate Professor, Head of the Department of Obstetrics and Gynecology, Institute of Continuing Medical and Pharmaceutical Education

1 Pavshikh Bortsov Square, Volgograd 400131

https://orcid.org/0000-0002-1935-4277ТкаченкоЛ. В.TkachenkoL. V.

Ткаченко Людмила Владимировна – д.м.н., профессор, профессор кафедры акушерства и гинекологии Института непрерывного медицинского и фармацевтического образования

400131 Волгоград, площадь Павших Борцов, д. 1

Lyudmila V. Tkachenko – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology, Institute of Continuing Medical and Pharmaceutical Education

1 Pavshikh Bortsov Square, Volgograd 400131

https://orcid.org/0000-0002-9422-0623ЯхонтоваМ. А.YakhontovaM. A.

Яхонтова Мария Александровна – к.м.н., доцент кафедры акушерства и гинекологии Института непрерывного медицинского и фармацевтического образования

400131 Волгоград, площадь Павших Борцов, д. 1

Mariya A. Yakhontova – MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Institute of Continuing Medical and Pharmaceutical Education

1 Pavshikh Bortsov Square, Volgograd 400131

https://orcid.org/0000-0001-6761-2990ГриценкоИ. А.GritsenkoI. A.

Гриценко Ирина Анатольевна – к.м.н., доцент кафедры акушерства и гинекологии Института непрерывного медицинского и фармацевтического образования

400131 Волгоград, площадь Павших Борцов, д. 1

Irina A. Gritsenko – MD, PhD, Associate Professor, Department of Obstetrics and Gynecology, Institute of Continuing Medical and Pharmaceutical Education

1 Pavshikh Bortsov Square, Volgograd 400131

irina-gritsenko@yandex.ruhttps://orcid.org/0000-0001-5838-1385МаксимовС. Н.MaximovS. N.

Максимов Сергей Николаевич – аспирант кафедры акушерства и гинекологии Института непрерывного медицинского и фармацевтического образования

400131 Волгоград, площадь Павших Борцов, д. 1

Sergey N. Maximov – MD, Postgraduate Student, Department of Obstetrics and Gynecology, Institute of Continuing Medical and Pharmaceutical Education

1 Pavshikh Bortsov Square, Volgograd 400131

https://orcid.org/0000-0003-2915-6132ПурясеваК. А.PuryasevaK. A.

Пурясева Ксения Анатольевна – аспирант кафедры акушерства и гинекологии Института непрерывного медицинского и фармацевтического образования

400131 Волгоград, площадь Павших Борцов, д. 1

Kseniya A. Puryaseva – MD, Postgraduate Student, Department of Obstetrics and Gynecology, Institute of Continuing Medical and Pharmaceutical Education

1 Pavshikh Bortsov Square, Volgograd 400131

ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияVolgograd State Medical University, Health Ministry of Russian FederationRussian Federation2024251220231818395Copyright © Sviridova N.I., Tkachenko L.V., Yakhontova M.A., Gritsenko I.A., Maximov S.N., Puryaseva K.A., 20242024Свиридова Н.И., Ткаченко Л.В., Яхонтова М.А., Гриценко И.А., Максимов С.Н., Пурясева К.А.Sviridova N.I., Tkachenko L.V., Yakhontova M.A., Gritsenko I.A., Maximov S.N., Puryaseva K.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/1866

An issue of endometrial hyperplastic processes in the reproductive period is one of the pressing problems of gynecology due to their high prevalence in this age group. The continuing interest in this issue is determined by the data that endometrial hyperplastic processes tend to have a long, relapsing course, the lack of specific, pathognomonic symptoms as well as the complexity in differential diagnosis and choice of methods for prevention and treatment. Unfortunately, the problem of treating such patients remains far from being solved, which dictates a need to optimize patient management tactics, which should be aimed not only at creating proper integrated approaches to predicting development and recurrence of endometrial hyperplastic processes, but also developing a differentiated approach to management patients with this pathology in order to reduce gynecological and oncological morbidity as well as increase reproductive potential in this patient cohort.

Проблема гиперпластических процессов эндометрия в репродуктивном периоде является одной из актуальных проблем гинекологии в связи с высокой распространенностью этой патологии у женщин данного возраста. Неослабевающий интерес к ней определяется их тенденцией к длительному, рецидивирующему течению, отсутствием специфических, патогномоничных симптомов, а также сложностью дифференциальной диагностики и выбора методов профилактики и лечения. К сожалению, проблема лечения больных с данной патологией до настоящего времени остается далекой от своего решения, что диктует необходимость оптимизации тактики ведения пациенток, которая должна быть направлена не только на создание адекватных комплексных подходов прогнозирования развития и рецидивирования гиперпластических процессов эндометрия, но и разработку дифференцированного подхода к ведению больных с этой патологией с целью снижения гинекологической и онкологической заболеваемости, а также повышения репродуктивного потенциала данной когорты пациенток.

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The authors declare that there are no conflicts of interest present.