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Biomedical subjects

E N Kolachevskaia

Publications and source records attributed to E N Kolachevskaia.

At least 19 recordsLinked to original sources

[Principles in differential diagnosis of female genital tuberculosis].

The paper deals with current methods of diagnosis of female genital tuberculosis, which is very difficult despite numerous studies, it shows the frequency of its latent forms. The present classification of the disease and its clinical manifestations are given. The paper shows that only a complex of studies may make its diagnosis and determine the intensity of the process. It analyzes the results of tuberculin tests, microbiological, histological, X-ray studies. The paper shows it necessary to use the present diagnostic techniques, including laparoscopy and hysteroscopy.

Adolescent↗

[Clinical course and diagnosis of female genital tuberculosis].

The incidence of genital tuberculosis has increased for the last decade 2-fold reaching 11.9% of all the extrapulmonary cases. Three clinical forms of tuberculosis of the uterine appendages are distinguished: latent or minor inflammation, marked inflammation with tubuloovarian lesions, tuberculomas. The diagnosis of the disease, especially of latent forms, is not easy and requires studying the disease history, the results of subcutaneous 50 TU tuberculin test, histerosalpingography, endoscopic (surgical laparoscopy, histeroscopy, colposcopy), histological and microbiological findings.

Colposcopy↗

[The significance of haptoglobin in the differential diagnosis of tuberculosis of the female genital organs].

Study included 115 women with suspicion of genital tuberculosis. Combined clinical, X-ray and laboratory examination made it possible to classify patients into 3 groups: group 1 included 44 patients with active genital tuberculosis, group 2 32 women with clinically cured tuberculosis of internal genitalia and group 3 39 women with nonspecific genital diseases. The haptoglobin-tuberculin test was given to all patients. High haptoglobin parameters before or 72 h after tuberculin administration were found only in the group of patients with active genital tuberculosis. In groups 2 and 3 the haptoglobin level did not exceed normal values both before and after tuberculin administration in a dose of 50 TU. The informative value of serum haptoglobin parameters in patients with active tuberculosis of internal genitalia constituted 88.6%.

Adult↗

[Study of lipid peroxidation in patients with tuberculosis of the female genital organs during subcutaneous tuberculin test].

The level of MDA in erythrocytes and plasma was determined in 71 female patients with a chronic inflammatory process in the genitals before and after subcutaneous tuberculin administration. In patients with active genital tuberculosis the MDA level rose significantly: in erythrocytes 24 hours and in plasma 72 hours after subcutaneous tuberculin administration. The MDA level remained unchanged in the rest of the patients.

Adult↗

[Functional state of the hypothalamo-hypophyseal-ovarian system in female patients with tuberculosis of the genital organs].

Blood concentrations of LH, FSH, estradiol, prolactin, growth hormone, cortisol, testosterone and progesterone have been examined in 76 patients with active tuberculosis of the internal genitalia (group 1), 18 patients with longterm sequelae of clinically asymptomatic tuberculosis (group 2) and 41 patients with nontuberculous diseases of the internal genitalia. Abnormalities were identified in 56.5% of group 1 patients, 33% of group 2 and 46.4% of group 3 patients. The patients with active tuberculosis characteristically had a low gonadotropin and estradiol secretion. High prolactin levels were related to pituitary adenoma or tuberculous infection; polycystic ovaries were a cause of testosterone and stress of examination of cortisol elevation.

Adult↗

[Significance of ultrasonic examination in the diagnosis of genital tuberculosis in women].

Ultrasonic examination was applied to 149 female patients with active genital tuberculosis, late aftereffects of clinically cured tuberculosis and different nonspecific diseases of the internal genitalia. In all the three groups the ultrasonic examination revealed fibromyomas, adenomyosis, hypoplasia of the womb body, tubo-ovarian inflammations, cysts and cystic degeneration of the ovary. The examination made it possible to detect small fibromyomas, small ovary cysts and hydrosalpinx in the three groups. This extended the diagnostic possibilities.

Adult↗