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SAINT-PETERSBURG – 2010 - page 41 / 128

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82,14% women revealed past inflammatory diseases of the genitals lower segments which suggested chronic proceeding of the infection due to low-quality diagnostics and therapy in the past (p<0,01). In the past, the trichomonade infection was mostly diagnosed: 35,29% (p<0,01), which is indirectly corroborated by persistent complaints of dysuria (19,61%) and repeated treatment of the so called “cystitis” in previous years.

All the patients were subjected to a complex gynaecological examination with the aid of common techniques at the base of the State Healthcare Institution “The Municipal Outpatient Clinic № 83”, at the base of the L.O.Ott Research Institute of Obstetrics and Gynaecology of the Russian Acad. Med. Sci. The echography was performed with the apparatus of the expert class ALOKA-5500 (Japan). Transvaginal ultrasonic study of the cervix of the uterus was used in its standard technique and then complemented with the EDC.

Results of the study and their discussion. Specific features of the genitals lower segment’s mucous membrane in postmenopause include gradually thinning multilayer pavement epithelium the surface of which becomes smooth, bright and vulnerable (in traumatisation, small haemorrhages may occur). In endocervicitis in postmenopause, the discharges in all the patients are scarce serous-purulent those. In 54,9% of cases, contact bleeding due to obvious vulnerability of the epithelium occurred against the background of infection (p<0,01). In 70,59%, signs of light “diffuse” and/or “focal” colpitis were observed against the background of the epithelium age-specific changes of various grades. In study of microbiocenosis, in 82,35% of cases a considerable increase in the number of neutrophile granulocytes occurred against the background of absence of the lactobacilli and a large amount of cocco-bacillary flora. In bacteriological study, in  33,33% of cases an ample growth of E.coli was found in the titre amount over 10х4CFU/ml. In cytological study, in the smears, the cells of the “lower” intermediate and parabasal rows with no atypia prevailed; in 64,7% of cases, an “inflammatory” type of the smear had been found that was often accompanied by reactive changes of the parabasal cells which demanded application of differential diagnostics with a dysplastic process with the

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