| 张玉娟,林琪,肖晓君,徐繁华,黄丽霞,冯程.超声诊断深部浸润型子宫内膜异位症累及盆腔组织[J].中国医学影像技术,2018,34(4):573~576 |
| 超声诊断深部浸润型子宫内膜异位症累及盆腔组织 |
| Ultrasonographic diagnosis of deep infiltrating endometriosis with involvement of pelvic tissues |
| 投稿时间：2017-10-14 修订日期：2018-01-28 |
| DOI：10.13929/j.1003-3289.201710041 |
| 中文关键词: 超声检查 子宫内膜异位症 诊断 |
| 英文关键词:Ultrasonography Endometriosis Diagnosis |
| 基金项目:广东省医学科学技术研究基金（A2016545）。 |
|
| 摘要点击次数: 2531 |
| 全文下载次数: 1329 |
| 中文摘要: |
| 目的 观察超声诊断深部浸润型子宫内膜异位症（DIE）累及不同盆腔组织的价值。方法 对118例DIE患者术前行经阴道超声检查；以手术病理结果为金标准，计算经阴道超声术前诊断DIE累及骶韧带、肠道、阴道直肠隔、阴道、膀胱、输尿管的敏感度、特异度、阳性预测值和阴性预测值。结果 DIE累及骶韧带85例，术前经阴道超声诊断敏感度95.29%（81/85），特异度90.91%（30/33）；肠道受累60例，敏感度和特异度分别为98.33%（59/60）和91.38%（53/58）；阴道直肠隔受累39例，敏感度和特异度分别为79.49%（31/39）和92.41%（73/79）；阴道受累18例，敏感度和特异度分别为55.56%（10/18）和96.00%（96/100）；膀胱受累17例，敏感度和特异度分别为76.47%（13/17）和94.06%（95/101）；输尿管受累9例，敏感度和特异度分别为100%（9/9）和99.08%（108/109）。结论 经阴道超声对DIE累及盆腔组织的诊断效能较高。 |
| 英文摘要: |
| Objective To explore the diagnostic value of ultrasonography in diagnosing deep infiltrating endometriosis (DIE) with involvement of pelvic tissues. Methods Data of 118 DIE patients confirmed with surgery and pathology who underwent transvaginal ultrasonography before surgery were retrospectively analyzed. Taking surgical and pathologic findings as the gold standards, the sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of ultrasonography in diagnosis of DIE with involvement of uterosacral ligament, intestine, vaginal rectal septum, vagina, bladder and ureter were calculated, respectively. Results Uterosacral ligament involvement was found in 85 patients, with sensitivity of 95.29% (81/85) and specificity of 90.91% (30/33). Intestinal involvement was observed in 60 patients, with sensitivity of 98.33% (59/60) and specificity of 91.38% (53/58). Vaginal rectal septum involvement was noticed in 39 patients, with sensitivity of 79.49% (31/39) and specificity of 92.41% (73/79). Vaginal involvement was detected in 18 patients, with sensitivity of 55.56% (10/18) and specificity of 96.00% (96/100). Bladder involvement was found in 17 patients, with sensitivity of 76.47% (13/17) and specificity of 94.06% (95/101). Ureter involvement was also found in 9 patients, with sensitivity of 100% (9/9) and specificity of 99.08% (108/109). Conclusion Transvagina ultrasonography has great value in diagnosis of DIE with involvement of pelvic tissues. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
