highly informative and non-invasive method involves ultrasonic study of the small pelvis organs that is included in the algorithm of gynaecological examination of the patients. In this connection, the improvement of the radial diagnostics of the uterus is quite promising for revealing pathological conditions of the CU and, particularly, the endocervix.
Objective of the work. More precise definition of diagnostic capacities of the echography for assessing the condition of the cervix of the uterus in patients with cervicitis in postmenopause.
Materials and methods of the study. 91 women aged 45 to 79 were studied, the women having had the menopause for the last 1 to 25 years. The patients presented complaints of discomfort in the genitals area: itching, burning, pain in the vagina, unpleasant sensations in urination, smearing sanguinolent discharges from the reproductive tracts, dyspareunia.
We related the patients to the endocervicitis verification risk group if their examination with the aid of gynaecological mirror and colposcope revealed signs as follows: hyperaemia around the external orifice of the cervix of the uterus, contact haemophilic manifestations from the cervix of the uterus, mucin-purulent discharges from the cervical canal, the picture of “diffuse” and/or “focal” colpitis in colposcopy. In bacteriological study, the amount of polymorphous-nuclear leucocytes over 10 was taken into consideration at magnification х 1000 and examining of at least 5 fields of vision, as well as finding of trichomonades, gonococcus. In bacteriological study – discharge of pathogenic microorganisms; opportunistic pathogenic microorganisms in amount of the titre >10х4CFU/ml. In molecular-biological techniques – revealing of absolute pathogenic microorganisms (Mycoplasma genitalium, C. trachomatis, T.vaginalis, N.gonorrhoeae) . In cytological study of the smears taken from the cervix of the uterus in endocervicitis, “mixed” or “atrophic” type of the smear can be seen (often in the postmenopause duration over 5 years) against the background of large number of leucocytes .
In the course of the laboratory studies, in 54 (59,34%) of the 91 patients, clinical-laboratory manifestations of endocervicitis were found. Past history of