Tumors of female reproductive systemTumors of female reproductive systemОпухоли женской репродуктивной системы1994-40981999-8627Publishing House ABV Press54210.17650/1994-4098-2017-13-2-47-55GYNECOLOGY. REVIEWSГИНЕКОЛОГИЯ. ОБЗОРНЫЕ СТАТЬИPOSSIBILITIES OF USING LOW-MOLECULAR-WEIGHT HEPARIN IN THE COMPLEX TREATMENT OF WOMEN WITH TUMORS OF THE REPRODUCTIVE SYSTEMВОЗМОЖНОСТИ ПРИМЕНЕНИЯ НИЗКОМОЛЕКУЛЯРНЫХ ГЕПАРИНОВ В КОМПЛЕКСНОМ ЛЕЧЕНИИ ЖЕНЩИН С ОПУХОЛЯМИ ЖЕНСКОЙ РЕПРОДУКТИВНОЙ СИСТЕМЫKedrovaA. G.КедроваА. Г.
Russian Federation

91 Volokolamskoe Shosse, Moscow 125371; 28 Orekhovyy Boulevard, Moscow, 115682 

Анна Генриховна Кедрова - кафедра акушерства и гинекологии.

125371 Москва, Волоколамское шоссе, 91; 115682 Москва, Ореховый бульв., 28

kedrova.anna@gmail.comShablovskyO. R.ШабловскийО. Р.
Russian Federation

28 Orekhovyy Boulevard, Moscow, 115682

115682 Москва, Ореховый бульв., 28

LevakovS. A.ЛеваковС. А.
Russian Federation

Department of Obstetrics and Gynecology, Institute of Professional Education FMSMU.

91 Volokolamskoe Shosse, Moscow 125371; Build. 2, 8 Trubetskaya St., Moscow, 119991

Кафедра акушерства и гинекологии Института профессионального образования.

125371 Москва, Волоколамское шоссе, 91; 119991 Москва, ул. Трубецкая, 8, стр. 2

VankeN. S.ВанкеН. С.
Russian Federation

Department of Obstetrics and Gynecology.

91 Volokolamskoe Shosse, Moscow 125371

Кафедра акушерства и гинекологии.

125371 Москва, Волоколамское шоссе, 91

Institute for Advanced Training, Federal Medical and Biological AgencyФГБОУ ДПО «Институт повышения квалификации ФМБА России»Federal Research and Clinical Center for Specialized Medical Cares and Medical Technologies, Federal Biomedical Agency of RussiaФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий Федерального медико-биологического агентства»I.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaФГБОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России2806201713247552806201728062017https://ojrs.abvpress.ru/ojrs/article/view/542

Benign and malignant tumors of the organs of the female reproductive system are the most common diseases requiring medical and surgical treatment. They are rarely the cause of acute complications. However, the thromboembolic disease is a serious illness, sometimes causing death due to acute the pulmonary embolism. Venous thromboembolism secondary to Benign and malignant tumors of the organs of the female reproductive system should be considered in a female presenting with abdominal mass and pelvic pressure. Thromboembolic disease secondary to large tumors should be treated with anticoagulation then hysterectomy. The article presents an analysis of modern literature on optimal prevention of the pulmonary thromboembolism in patients with tumors of the female reproductive system. There are analysis data of 17 (0.7 %) cases of the pulmonary thromboembolism that occurred of 2358 gynecological and oncogynecologic patients.

Доброкачественные и злокачественные опухоли органов женской репродуктивной системы являются наиболее распространенными заболеваниями, требующими медикаментозного и хирургического лечения. При значительных размерах опухоли таза могут сочетаться с венозными тромбозами глубоких вен, что повышает риски венозных тромбоэмболических осложнений, имеющих высокие риски смерти. В статье представлен анализ современной литературы по вопросам оптимальной профилактики тромбоэмболии легочных сосудов у больных с опухолями женской репродуктивной системы в послеоперационном периоде. Также приведены собственные данные анализа 17 (0,7 %) случаев тромбоэмболии легочной артерии, возникших за последние 5 лет после выполнения 2358 полостных гинекологических и онкогинекологических операций.

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