Uterine Blood Flow Assessment in Patients with Adenomyosis
147 patients with adenomyosis underwent ultrasound examination which included assessment of the uterus and endometrium volume, uterine arteries peak systolic velocity, pulsatility index, and resistive index, as well as arterial perfusion index, vascularization index, flow index, and vascularization flow index obtained in 3D mode. All parameters were compared with that of same age healthy women. Data of 24 women who underwent surgery and 123 women who were getting conservative treatment were compared as well. Significant decrease of the arterial perfusion index and vascularization index in study group at both menstrual phases (P th percentiles), in subgroup of patients who was getting the conservative treatment - 0.011 (0.006-0.018) (P < 0.05), vascularization index - 1.9 (1.7-3.2) and 4.5 (0.9-8.0) respectively (P < 0.05). Significant decrease of peak systolic velocity (26.8 (16.4-36.8) and 36.0 (19.9-52.5) cm/s), significant increase of pulsatility index (3.07 (1.84-3.98) and 2.23 (1.33-3.36)) and resistive index (0.91 (0.85-1.00) and 0. 85 (0.71-1.00)) in uterine arteries (P < 0.05 for all comparisons) among the patients who underwent surgery comparing to the patients who got conservative treatment were found.