ABSTRACT
The transvaginal and abdominal ultrasound examination is an effective method of defining the internal multinodular structure of large uterine leiomyoma. Ultrasonic Dopplerography allows us to evaluate uterine internal pattern and the blood flow in the patients with large uterine leiomyoma. The incidence of leiomyoma was the same in late reproductive and premenopausal uteri, although the average number of leiomyoma and the average size of the largest leiomyoma were higher in the premenopausal women. The correlation of the morphological and preoperational results of the ultrasound examination of 21 female with large uteral leiomyoma has been carried out. It has been found that the echographic picture of the nodules is defined by the combinations of the various components possessing the properties of hypoechogeneity (necrosis and the edema of the fibrous structures). Different variants of leiomyoma clinical course in the patients are of interest. The conformity of the echographic picture of large leiomyoma and their morphological structure were revealed at the examination of all the types have made up 94%. The data obtained allowed us to optimize the complex of the diagnostic investigations necessary for revealing proliferative process.
