ON SOME ASPECTS OF THE CLASSIFICATION OF CRUMPLE CERVICAL SCAR
Abstract
Of the significant variation in the frequency of cervical strain caused by the scar with a mixed assessment of traumatic deformities on examination did not reflect the degree of scar deformities. This is facilitated by the shortcomings of the existing classification, which unfortunately did not affect the volume of surgical tactics and does not take into
account newly emerging pathological conditions of the mucous membrane. In view of the above, the authors proposed to supplement the existing classification of scar deformities of the cervix, which allow you to develop standard approaches to the treatment, depending on the degree of deformation and the reproductive function of women. Scar deformity of 1
degree of old single or multiple lateral cervical tears up to 2 cm deep. Cervical canal is partially preserved and is a cone with vertex at the internal OS. Eversion of cervical mucous is usually limited to the bottom of its Division. Scar deform of 3 degree-old tears reaching to the body of the uterus with assymetric hypertrophy of lip dystopic cervix in combination
with dysplasia and HPV. SCAR deformation degree 4-old tears reaching to the body of the uterus, combined with the failure of the pelvic floor.
account newly emerging pathological conditions of the mucous membrane. In view of the above, the authors proposed to supplement the existing classification of scar deformities of the cervix, which allow you to develop standard approaches to the treatment, depending on the degree of deformation and the reproductive function of women. Scar deformity of 1
degree of old single or multiple lateral cervical tears up to 2 cm deep. Cervical canal is partially preserved and is a cone with vertex at the internal OS. Eversion of cervical mucous is usually limited to the bottom of its Division. Scar deform of 3 degree-old tears reaching to the body of the uterus with assymetric hypertrophy of lip dystopic cervix in combination
with dysplasia and HPV. SCAR deformation degree 4-old tears reaching to the body of the uterus, combined with the failure of the pelvic floor.
About the Authors
F. F. Badretdinova
Bashkir State Medical University, Ufa
Russian Federation
Russian Federation
V. B. Trubin
Bashkir State Medical University, Ufa
Russian Federation
Russian Federation
A. G. Khasanov
Bashkir State Medical University, Ufa
Russian Federation
Russian Federation
References
1. Babicheva I. A. Khirurgicheskoe lechenie deformatsii sheiki matki v sochetanii s leikoplakiei. Doct, Diss. (Surgical treatment of cervical strain in combination with leukoplakia). Dr. diss. Moscow. 1997. 22 s.
2. Bodyazhina V.I., Zhmakin K.N., Kiryushchenkov A.P. Obstetrics [Akusherstvo]. Kursk. 1998; 496 s.
3. Ermolova N.P. Rekonstruktivno-plasticheskaya operatsiya sheiki matki pri rubtsovykh deformatsiyakh (metodom rassloeniya). Doct, Diss. (Reconstructive and plastic surgery at the cervical scar deformity (by stratification)). Dr. diss. Moscow. 1977; 23 s.
4. Ivanova M.N. Kompleksnoe vosstanovitel'noe lechenie zhenshchin posle plasticheskikh operatsii na sheike matki. Doct, Diss. (Comprehensive rehabilitation treatment of women after plastic surgery on the cervix). Dr. diss. Voronezh. 2012; 19 s.
5. Kizhaev Yu.E. Kompleksnoe lechenie bol'nykh s rubtsovoi deformatsiei sheiki matki. Doct, Diss. (Complex treatment of patients with cervical scar deformity). Dr. diss. Moscow. 2009; 21 s.
6. Kuznetsova L.E. Osobennosti sostoyaniya sheiki matki u zhenshchin perimenopauzal'nogo perioda. Doct, Diss. (Features state of the cervix in women of perimenopausal period). Dr. diss. Dushanbe. 2004; 24 s.
7. Landekhovskii Yu.D., Babicheva I.A. Disease of the cervix, vagina and vulva. Ed. VN Prilepskaya [Zabolevaniya sheiki matki, vlagalishcha i vul'vy. Pod red. V.N. Prilepskoi]. Moscow. 1999; 94-98.
8. Mukanova S.A., Plisetskii A.B., Mishkina E.Yu., Artyukh T.N. Klinicheskie kriterii pri rubtsovykh deformatsiyakh sheiki matki. Voprosy organizatsii okazaniya neotlozhnoi meditsinskoi pomoshchi v usloviyakh krupnogo promyshlennogo tsentra. Tezisy nauchnykh rabot (Clinical criteria for cervical scar deformity. Questions organization providing emergency medical care in a large industrial center. Abstracts of scientific papers) Omsk. 1996; 182-184.
9. Rusakevich P.S. Cervical disease: symptoms, diagnosis, treatment, prevention [Zabolevaniya sheiki matki: simptomatika, diagnostika, lechenie, profilaktika]. Minsk. 2010; 368 s.
10. Trubina T.B., Trubin V.B., Glebova H.H. Akusherskie travmy sheiki matki – faktory riska fonovykh i predrakovykh zabolevanii. V kn: Materialy I Rossiiskogo Kongressa «Genital'nye infektsii i patologiya sheiki matki» (Obstetric injuries cervix – risk factors of background and precancerous diseases. In the book: Proceedings of the I Congress of the Russian "Genital infection and cervical pathology"). Moscow. 2004; 80-81.
11. Parikh R., Brotzman S., Anasti J.N. Cervical lacerations: some surprising facts. Am. J. Obstet. Gynecol. 2007 May; 196 (5): 7-8.
12. Wright T.C.Jr., Massad L.S., Dunton C.J. 2006 consensus guidelines for the management of women with abnormal cervical screening tests. J. Low Genit Tract Dis. 2007; 11 (4): 201-222.
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14.
For citation:
Badretdinova F.F., Trubin V.B., Khasanov A.G. ON SOME ASPECTS OF THE CLASSIFICATION OF CRUMPLE CERVICAL SCAR. Obstetrics, Gynecology and Reproduction. 2014;8(3):43-46. (In Russ.)
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