medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.10.24835/1607-0763-2018-5-84-93medvis-658Research ArticleМАЛЫЙ ТАЗSMALL PELVISСтандартизация ультразвукового исследования органов малого таза у женщинStandartization of ultrasound examination of the pelvic organs in womenОзерскаяИ. А.OzerskayaI. A.

доктор мед. наук, профессор кафедры ультразвуковой диагностики и хирургии факультета повышения квалификации медицинских работников

117198 Москва, ул. Миклухо-Маклая, д. 21, корп. 3, РУДН, ФПК МР, кафедра ультразвуковой диагностики и хирургии

8-926-606-09-05

doct. of med. sci., Professor, Department of ultrasound diagnostics and surgery of the Faculty training of health workers

Miklukho-Maklay str., 21, bldg. 3, Moscow, Russia, 117198. People's Friendship University, Department of ultrasound diagnostics and surgery.

+7-926-606-09-05

ozerskaya_usd@mail.ruФГБОУ ВПО “Российский университет дружбы народов”РоссияRussian Peoples' Friendship UniversityRussian Federation201828102018058493Copyright © Озерская И.А., 20182018Озерская И.А.Ozerskaya I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/658

Введение. В России не проводилось исследований по сопоставлению данных, получаемых на ультразвуковых сканерах разных фирм, при комплексной оценке органов малого таза у женщин.Цель исследования: сравнить показатели исследования внутренних половых органов здоровых женщин, полученных на приборах фирм Philips и GE Healthcare.Материал и методы. Проведено сравнение результатов ультразвукового исследования органов малоготаза у практически здоровых пациенток репродуктивного возраста (18–45лет), полученных на приборах экспертного уровня фирм GE Healthcare (Австрия) и Philips (Нидерланды) одним и тем же врачом. В каждой группе было по 30 человек (по 15 женщин в I и II фазе цикла). Возраст достоверных отличий не имел (p > 0,05). Оценивались органометрия (объем матки, толщина эндометрия, объем яичников), допплерометрические показатели кровотока в маточных артериях, таких как максимальная систолическая и средняя скорость кровотока (Vmax, Vmean), диаметр маточных артерий, рассчитывали индекс артериальной перфузии (ИАП), при 3D-допплерометрии получали васкуляризационный индекс (VI), потоковый индекс (FI) и васкуляризационно-потоковый индекс (VFI) матки и эндометрия.Результаты. Выявлено, что показатели VI, FI и VFI, рассчитанные на приборе GE достоверно выше, чем на приборе Philips (p < 0,05). Разницы органометрии, допплерометрии маточных артерий и ИАП не получено (p > 0,05).Выводы. При внедрении новых методик следует изучить информацию о данном методе и опираться на нормативные параметры, полученные на приборах аналогичных фирм.

Introduction. In Russia, there has been no research comparing data obtained by ultrasound scanners of different firms, with a comprehensive assessment of pelvic organs in women.Purpose of the study. Compare the results of the study of the internal genitalia of healthy women, obtained on devices from Philips and GE Healthcare. Materials and methods. A comparison of the results of pelvic ultrasound examination in healthy patients of reproductive age (18–45 years), conducted on the expert level devices of GE Healthcare (Austria) and Philips (Netherlands) by the same doctor. Each group consisted of 30 people (15 women in the first and second phase of the cycle). Age did not have significant differences (p > 0.05). Organometry (uterine volume, endometrial thickness, ovarian volume), dopplerometric parameters of blood flow in uterine arteries, such as maximum systolic and average blood flow rate (Vmax, Vmean), uterine artery diameter, arterial perfusion index (API) was calculated, vascularization index (VI), flow index (FI) and vascularization-flow index (VFI) of the uterus and endometrium were obtained in 3D Doppler.Summary. When implementing new techniques should study the information about this method and rely on the regulatory parameters obtained on the devices of similar firms.

ультразвуковая диагностикадопплерометрия маточных артерийваскуляризационный индекспотоковый индексваскуляризационно-потоковый индексultrasounddoppler ultrasoundvascularization indexflow indexvascularization-flow indexReferencesВетшева Н.Н. Стандартизация методик проведения ультразвуковых исследований. http://event.medradiology.moscow/d/1387577/d/standartizatsiya_metodik_provedeniya_uz_issledovaniy_vetshevann.pdfVetsheva N.N. Standardization of methods for conducting ultrasound research. http://event.medradiology.moscow/d/1387577/d/standartizatsiya_metodik_provedeniya_uz_issledovaniy_vetshevann.pdf (In Russian)Зубарев А.Р. Стандарты ультразвуковой флебологии. https://mks.ru/library/conf/angiodop/2000/angiol/zub2.htmlZubarev A.R. Standards of ultrasonic phlebology. https://mks.ru/library/conf/angiodop/2000/angiol/zub2.html (In Russian)Габлия М.Ю. Унификация протоколов ультразвуковых исследований предстательной железы. https://www.youtube.com/watch?v=Zw6k-Kuer3MGabliya M.Yu. Unification of ultrasound protocols of the prostate gland. https://www.youtube.com/watch?v=Zw6k-Kuer3M (In Russian)http://www.rasudm.org/recomendation/Gabliya M.Yu. Unification of ultrasound protocols of the prostate gland. https://www.youtube.com/watch?v=Zw6k-Kuer3M (In Russian)Рекомендации по проведению эластографии сдвиговой волной для ультразвуковых аппаратов компании Филипс. http://www.rasudm.org/recomendation/details.htm?id=15http://www.rasudm.org/recomendation/ (In Russian)Raine-Fenning N.J., Nordin N.M., Ramnarine K.V., Campbell B.K., Clewes J.S., Perkins A., Johnson I.R. Evaluation of the effect of machine settings on quantitative three-dimensional power Doppler angiography: an in-vitro flow phantom experiment. Ultrasound Obstet. Gynecol. 2008; 32 (4): 551–559. DOI: 10.1002/uog.6138.http://www.rasudm.org/recomendation/ (In Russian)Omran E., El-Sharkawy M., El-Mazny A., Hammam M., Ramadan W., Latif D., Samir D., Sobh S. Effect of clomiphene citrate on uterine hemodynamics in women with unexplained infertility. Int. J. Womens Health. 2018; 10: 147–152. DOI: 10.2147/IJWH.S155335.Recommendations for the shear wave elastography ultrasound machines for Phillips Company// http://www.rasudm.org/recomendation/details.htm?id=15 (In Russian)Dong Y., Cai Y., Zhang Y., Xing Y., Sun Y. The effect of fertility stress on endometrial and subendometrial blood flow among infertile women. Reprod. Biol. Endocrinol. 2017; 15: 15–26.Recommendations for the shear wave elastography ultrasound machines for Phillips Company// http://www.rasudm.org/recomendation/details.htm?id=15 (In Russian)El-Mazny A., Kamel A., Ramadan W., Gad-Allah S., Abdelaziz S., Hussein A.M. Effect of ovarian endometrioma on uterine and ovarian blood flow in infertile women. Int. J. Womens Health. 2016; 8: 677–682. DOI: 10.2147/IJWH.S124229.Raine-Fenning N.J., Nordin N.M., Ramnarine K.V., Campbell B.K., Clewes J.S., Perkins A., Johnson I.R. Evaluation of the effect of machine settings on quantitative three-dimensional power Doppler angiography: an in-vitro flow phantom experiment. Ultrasound Obstet. Gynecol. 2008; 32 (4): 551–559. DOI: 10.1002/uog.6138.El-Mazny A., Ramadan W., Kamel A., Gad-Allah S. Effect of hydrosalpinx on uterine and ovarian hemodynamics in women with tubal factor infertility. Eur. J. Obstet. Gynecol. Reprod. Biol. 2016; 199: 55–59. DOI: 10.1016/j.ejogrb.2016.01.046.Raine-Fenning N.J., Nordin N.M., Ramnarine K.V., Campbell B.K., Clewes J.S., Perkins A., Johnson I.R. Evaluation of the effect of machine settings on quantitative three-dimensional power Doppler angiography: an in-vitro flow phantom experiment. Ultrasound Obstet. Gynecol. 2008; 32 (4): 551–559. DOI: 10.1002/uog.6138.Vanden Bosch T., Dueholm M., Valentin L., Rasmussen C.K., Votino A., Van Schoubroeck D., Landolfo C., Installé AJ, Guerriero S, Exacoustos C., Gordts S., Benacerraf B., D'Hooghe T., De Moor B., Brölmann H., Goldstein S., Epstein E., Bourne T., Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet. Gynecol. 2015; 46 (3): 284–298. DOI: 10.1002/uog.14806.Omran E., El-Sharkawy M., El-Mazny A., Hammam M., Ramadan W., Latif D., Samir D., Sobh S. Effect of clomiphene citrate on uterine hemodynamics in women with unexplained infertility. Int. J. Womens Health. 2018; 10: 147–152. DOI: 10.2147/IJWH.S155335.Leone F. P., Timmerman D., Bourne T., Valentin L., Epstein E., Goldstein S.R., Marret H., Parsons A.K., Gull B., Istre O., Sepulveda W., Ferrazzi E., Van den Bosch T. Terms, definitions and measurements to describe the sonographic features of the endometrium and intrauterine lesions: a consensus opinion from the International Endometrial Tumor Analysis (IETA) group. Ultrasound Obstet. Gynecol. 2010; 35 (1): 103–112. DOI: 10.1002/uog.7487.Omran E., El-Sharkawy M., El-Mazny A., Hammam M., Ramadan W., Latif D., Samir D., Sobh S. Effect of clomiphene citrate on uterine hemodynamics in women with unexplained infertility. Int. J. Womens Health. 2018; 10: 147–152. DOI: 10.2147/IJWH.S155335.Timmerman D., Valentin L., Bourne T., Collins W.P., Verrelst H., Vergote I.; International Ovarian Tumor Analysis (IOTA) Group. Terms, definitions and measurements to describe sonographic features of adnexal tumor: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) group. Ultrasound Obstet. Gynecol. 2000; 16 (c): 500–505. DOI: 10.1046/j.1469-0705.2000.00287.xDong Y., Cai Y., Zhang Y., Xing Y., Sun Y. The effect of fertility stress on endometrial and subendometrial blood flow among infertile women. Reprod. Biol. Endocrinol. 2017; 15: 15–26.Dong Y., Cai Y., Zhang Y., Xing Y., Sun Y. The effect of fertility stress on endometrial and subendometrial blood flow among infertile women. Reprod. Biol. Endocrinol. 2017; 15: 15–26.Dong Y., Cai Y., Zhang Y., Xing Y., Sun Y. The effect of fertility stress on endometrial and subendometrial blood flow among infertile women. Reprod. Biol. Endocrinol. 2017; 15: 15–26.El-Mazny A., Kamel A., Ramadan W., Gad-Allah S., Abdelaziz S., Hussein A.M. Effect of ovarian endometrioma on uterine and ovarian blood flow in infertile women. Int. J. Womens Health. 2016; 8: 677–682. DOI: 10.2147/IJWH.S124229El-Mazny A., Kamel A., Ramadan W., Gad-Allah S., Abdelaziz S., Hussein A.M. Effect of ovarian endometrioma on uterine and ovarian blood flow in infertile women. Int. J. Womens Health. 2016; 8: 677–682. DOI: 10.2147/IJWH.S124229El-Mazny A., Kamel A., Ramadan W., Gad-Allah S., Abdelaziz S., Hussein A.M. Effect of ovarian endometrioma on uterine and ovarian blood flow in infertile women. Int. J. Womens Health. 2016; 8: 677–682. DOI: 10.2147/IJWH.S124229El-Mazny A., Kamel A., Ramadan W., Gad-Allah S., Abdelaziz S., Hussein A.M. Effect of ovarian endometrioma on uterine and ovarian blood flow in infertile women. Int. J. Womens Health. 2016; 8: 677–682. DOI: 10.2147/IJWH.S124229El-Mazny A., Ramadan W., Kamel A., Gad-Allah S. Effect of hydrosalpinx on uterine and ovarian hemodynamics in women with tubal factor infertility. Eur. J. Obstet. Gynecol. Reprod. Biol. 2016; 199: 55–59. DOI: 10.1016/j.ejogrb.2016.01.046.El-Mazny A., Ramadan W., Kamel A., Gad-Allah S. Effect of hydrosalpinx on uterine and ovarian hemodynamics in women with tubal factor infertility. Eur. J. Obstet. Gynecol. Reprod. Biol. 2016; 199: 55–59. DOI: 10.1016/j.ejogrb.2016.01.046.El-Mazny A., Ramadan W., Kamel A., Gad-Allah S. Effect of hydrosalpinx on uterine and ovarian hemodynamics in women with tubal factor infertility. Eur. J. Obstet. Gynecol. Reprod. Biol. 2016; 199: 55–59. DOI: 10.1016/j.ejogrb.2016.01.046.El-Mazny A., Ramadan W., Kamel A., Gad-Allah S. Effect of hydrosalpinx on uterine and ovarian hemodynamics in women with tubal factor infertility. Eur. J. Obstet. Gynecol. Reprod. Biol. 2016; 199: 55–59. DOI: 10.1016/j.ejogrb.2016.01.046.Vanden Bosch T., Dueholm M., Valentin L., Rasmussen C.K., Votino A., Van Schoubroeck D., Landolfo C., Install AJ, Guerriero S, Exacoustos C., Gordts S., Benacerraf B., D'Hooghe T., De Moor B., Br lmann H., Goldstein S., Epstein E., Bourne T., Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet. Gynecol. 2015; 46 (3): 284–298. DOI: 10.1002/uog.14806.Vanden Bosch T., Dueholm M., Valentin L., Rasmussen C.K., Votino A., Van Schoubroeck D., Landolfo C., Install AJ, Guerriero S, Exacoustos C., Gordts S., Benacerraf B., D'Hooghe T., De Moor B., Br lmann H., Goldstein S., Epstein E., Bourne T., Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet. Gynecol. 2015; 46 (3): 284–298. DOI: 10.1002/uog.14806.Vanden Bosch T., Dueholm M., Valentin L., Rasmussen C.K., Votino A., Van Schoubroeck D., Landolfo C., Install AJ, Guerriero S, Exacoustos C., Gordts S., Benacerraf B., D'Hooghe T., De Moor B., Br lmann H., Goldstein S., Epstein E., Bourne T., Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet. Gynecol. 2015; 46 (3): 284–298. DOI: 10.1002/uog.14806.Vanden Bosch T., Dueholm M., Valentin L., Rasmussen C.K., Votino A., Van Schoubroeck D., Landolfo C., Install AJ, Guerriero S, Exacoustos C., Gordts S., Benacerraf B., D'Hooghe T., De Moor B., Br lmann H., Goldstein S., Epstein E., Bourne T., Timmerman D. Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group. Ultrasound Obstet. Gynecol. 2015; 46 (3): 284–298. DOI: 10.1002/uog.14806.Leone F. P., Timmerman D., Bourne T., Valentin L., Epstein E., Goldstein S.R., Marret H., Parsons A.K., Gull B., Istre O., Sepulveda W., Ferrazzi E., Van den Bosch T. Terms, definitions and measurements to describe the sonographic features of the endometrium and intrauterine lesions: a consensus opinion from the International Endometrial Tumor Analysis (IETA) group. Ultrasound Obstet. Gynecol. 2010; 35 (1): 103–112. DOI: 10.1002/uog.7487.Leone F. P., Timmerman D., Bourne T., Valentin L., Epstein E., Goldstein S.R., Marret H., Parsons A.K., Gull B., Istre O., Sepulveda W., Ferrazzi E., Van den Bosch T. Terms, definitions and measurements to describe the sonographic features of the endometrium and intrauterine lesions: a consensus opinion from the International Endometrial Tumor Analysis (IETA) group. Ultrasound Obstet. Gynecol. 2010; 35 (1): 103–112. DOI: 10.1002/uog.7487.Leone F. P., Timmerman D., Bourne T., Valentin L., Epstein E., Goldstein S.R., Marret H., Parsons A.K., Gull B., Istre O., Sepulveda W., Ferrazzi E., Van den Bosch T. Terms, definitions and measurements to describe the sonographic features of the endometrium and intrauterine lesions: a consensus opinion from the International Endometrial Tumor Analysis (IETA) group. Ultrasound Obstet. Gynecol. 2010; 35 (1): 103–112. DOI: 10.1002/uog.7487.Leone F. P., Timmerman D., Bourne T., Valentin L., Epstein E., Goldstein S.R., Marret H., Parsons A.K., Gull B., Istre O., Sepulveda W., Ferrazzi E., Van den Bosch T. Terms, definitions and measurements to describe the sonographic features of the endometrium and intrauterine lesions: a consensus opinion from the International Endometrial Tumor Analysis (IETA) group. Ultrasound Obstet. Gynecol. 2010; 35 (1): 103–112. DOI: 10.1002/uog.7487.Timmerman D., Valentin L., Bourne T., Collins W.P., Verrelst H., Vergote I.; International Ovarian Tumor Analysis (IOTA) Group. Terms, definitions and measurements to describe sonographic features of adnexal tumor: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) group. Ultrasound Obstet. Gynecol. 2000; 16 (c): 500–505. DOI: 10.1046/j.1469-0705.2000.00287.xTimmerman D., Valentin L., Bourne T., Collins W.P., Verrelst H., Vergote I.; International Ovarian Tumor Analysis (IOTA) Group. Terms, definitions and measurements to describe sonographic features of adnexal tumor: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) group. Ultrasound Obstet. Gynecol. 2000; 16 (c): 500–505. DOI: 10.1046/j.1469-0705.2000.00287.xTimmerman D., Valentin L., Bourne T., Collins W.P., Verrelst H., Vergote I.; International Ovarian Tumor Analysis (IOTA) Group. Terms, definitions and measurements to describe sonographic features of adnexal tumor: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) group. Ultrasound Obstet. Gynecol. 2000; 16 (c): 500–505. DOI: 10.1046/j.1469-0705.2000.00287.xTimmerman D., Valentin L., Bourne T., Collins W.P., Verrelst H., Vergote I.; International Ovarian Tumor Analysis (IOTA) Group. Terms, definitions and measurements to describe sonographic features of adnexal tumor: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) group. Ultrasound Obstet. Gynecol. 2000; 16 (c): 500–505. DOI: 10.1046/j.1469-0705.2000.00287.x

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