Saratov JOURNAL of Medical and Scientific Research

Svinarev M.Yu.

Saratov Regional Children's Clinical Hospital, Assistant of Head Physician, Doctor of Medical Science

Experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girls

Year: 2016, volume 12 Issue: №3 Pages: 339-343
Heading: Obstetrics and Gynecology Article type: Original article
Authors: Bezhanishvili Е.М., Svinarev M.Yu.
Organization: Saratov Regional Child Clinical Hospital

Objective: to prove the role of office hysteroscopy as an important additional method in diagnostics of puberty abnormal uterine bleeding (AUB). Material and methods. The study involved 68 patients with AUB. The average age was 13.4 years (10-17 years). The main complaint of patients concerned bleeding from genital tract during 10-45 days (on an average 28.4 days). Patients were divided into 3 groups according to the type of AUB determined based on the level of serum estradiol, physical and sexual development, internal genitalia ultrasound data: 35 hypo estrogenic girls, 24 girls with normal estrogenic and 9 girls with hyper estrogenic type of AUB. All of the girls took the office hysteroscopy. Results. When performing hysteroscopy it was revealed that there were a clear relationship between the degree of estrogenic saturation and visual picture obtained in the course of the study. Conclusion. Hysteroscopy enables maximum visualization of uterine cavity, which allows to verify the diagnosis, to reduce the "over diagnosis" rate of organic pathology, perform a differentiated approach to treatment of diseases, based on determination of estradiol level in serum and data obtained in the study.

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Knowledge level estimation of medical workers participating in rendering of emergency medical aid to children at a pre-hospital stage


Purpose: Estimation of qualifying preparation of the doctors participating in rendering of emergency medical aid to children.
Material: On the basis of the developed test cards the analysis of doctors' knowledge level of the first help on the basic questions of emergency medicine is carried out. 120 doctors are interrogated. Results compared depending on age, work experience and presence of a qualifying professional category.
Results: As a whole answers of respondents were distributed as follows: unsatisfactorily - 2,6 %; satisfactorily - 7,9 %; well - 18,4 %; perfectly - 71,1 %. Distinctions in a dale of right answers on separate sections of knowledge depending on the experience and a qualifying professional category are established.
The conclusion: The weakest places in preparation of experts of the first help on which it is necessary to pay special attention in courses of postdegree preparation are revealed

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