• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

经直肠超声 - 肠子宫内膜异位症治疗中的技术和结果。

Transrectal ultrasound - Techniques and outcomes in the management of intestinal endometriosis.

机构信息

Medical School of Science of Santa Casa de São Paulo (FCMSCSP) / French-Brazilian Centre of Endoscopic Ultrasonography (CFBEUS), Brazil.

Medical School of Science of Santa Casa de São Paulo (FCMSCSP), Brazil.

出版信息

Endosc Ultrasound. 2012 Apr;1(1):23-35. doi: 10.7178/eus.01.005.

DOI:10.7178/eus.01.005
PMID:24949332
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4062201/
Abstract

The widespread use of endoscopic ultrasound has facilitated the evaluation of subepithelial and surrounding lesions of the gastrointestinal tract. Deep pelvic endometriosis, with or without infiltration of the intestinal wall, is a frequent disease that can be observed in women in their fertile age. Patients of this disease may present nonspecific signs and symptoms or be completely asymptomatic. Laparoscopic surgical resection of endometriotic lesions is the treatment of choice in symptomatic patients. An accurate preoperative evaluation is indispensable for therapeutic decisions mainly in the suspicion of intestinal wall and/or urinary tract infiltration, and also in cases where we need to establish histological diagnosis or to rule out malignant disease. Diagnostic tools, including transrectal ultrasound, magnetic resonance image, transvaginal ultrasound, barium enema, and colonoscopy, play significant roles in determining the presence, depth, histology, and other relevant data about the extension of the disease. Diagnostic algorithm depends on the clinical presentation, the expertise of the medical team, and the technology available at each institution. This article reviews and discusses relevant clinical points in endometriosis, including techniques and outcomes of the study of the disease through transrectal ultrasound and fine-needle aspiration.

摘要

内镜超声的广泛应用促进了胃肠道黏膜下和周围病变的评估。深部盆腔子宫内膜异位症，无论是否累及肠壁，是一种常见疾病，可发生于育龄期妇女。这些患者可能表现为非特异性症状，也可能完全无症状。对于有症状的患者，腹腔镜下切除子宫内膜异位症病灶是治疗的首选方法。准确的术前评估对于治疗决策至关重要，主要是在怀疑肠壁和/或泌尿道浸润，以及需要建立组织学诊断或排除恶性疾病的情况下。诊断工具，包括经直肠超声、磁共振成像、经阴道超声、钡灌肠和结肠镜检查，在确定疾病的存在、深度、组织学和其他与疾病扩展相关的数据方面发挥着重要作用。诊断算法取决于临床表现、医疗团队的专业知识以及每个机构可用的技术。本文回顾和讨论了子宫内膜异位症的相关临床要点，包括经直肠超声和细针抽吸术研究疾病的技术和结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/2b998d2f1ed6/EUS-1-23-g029.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/f2ce0e128c1f/EUS-1-23-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/2ef936a152c2/EUS-1-23-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/e44f4aa653d3/EUS-1-23-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/993e6f516eea/EUS-1-23-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/b2383d90b9af/EUS-1-23-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/387d25fb7313/EUS-1-23-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/c6f5bedd9381/EUS-1-23-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/a76c5ef71067/EUS-1-23-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/0b5b69b068ae/EUS-1-23-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/3b483f57a5c1/EUS-1-23-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/e3ddbff758f0/EUS-1-23-g018.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/d829073059fb/EUS-1-23-g019.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/7afb86a4b040/EUS-1-23-g020.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/485f0e5b0fa1/EUS-1-23-g021.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/58ce414a31a9/EUS-1-23-g022.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/4f9bde52aa39/EUS-1-23-g023.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/385cfe28ce2d/EUS-1-23-g024.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/c9e900ec6183/EUS-1-23-g025.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/0def23de826a/EUS-1-23-g026.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/21038f50e383/EUS-1-23-g027.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/b0fee9d7c790/EUS-1-23-g028.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/2b998d2f1ed6/EUS-1-23-g029.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/f2ce0e128c1f/EUS-1-23-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/2ef936a152c2/EUS-1-23-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/e44f4aa653d3/EUS-1-23-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/993e6f516eea/EUS-1-23-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/b2383d90b9af/EUS-1-23-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/387d25fb7313/EUS-1-23-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/c6f5bedd9381/EUS-1-23-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/a76c5ef71067/EUS-1-23-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/0b5b69b068ae/EUS-1-23-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/3b483f57a5c1/EUS-1-23-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/e3ddbff758f0/EUS-1-23-g018.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/d829073059fb/EUS-1-23-g019.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/7afb86a4b040/EUS-1-23-g020.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/485f0e5b0fa1/EUS-1-23-g021.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/58ce414a31a9/EUS-1-23-g022.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/4f9bde52aa39/EUS-1-23-g023.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/385cfe28ce2d/EUS-1-23-g024.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/c9e900ec6183/EUS-1-23-g025.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/0def23de826a/EUS-1-23-g026.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/21038f50e383/EUS-1-23-g027.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/b0fee9d7c790/EUS-1-23-g028.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bdb/4062201/2b998d2f1ed6/EUS-1-23-g029.jpg

相似文献

1
Transrectal ultrasound - Techniques and outcomes in the management of intestinal endometriosis.经直肠超声 - 肠子宫内膜异位症治疗中的技术和结果。
Endosc Ultrasound. 2012 Apr;1(1):23-35. doi: 10.7178/eus.01.005.
2
Comparison of endoscopic ultrasound and magnetic resonance imaging in severe pelvic endometriosis.内镜超声与磁共振成像在重度盆腔子宫内膜异位症中的比较
Gastroenterol Clin Biol. 2000 Dec;24(12):1197-204.
3
Diagnostic value of endoscopic ultrasonography in pelvic masses with bowel involvement.内镜超声检查在伴有肠道受累的盆腔肿块中的诊断价值。
Therap Adv Gastroenterol. 2023 May 3;16:17562848231163414. doi: 10.1177/17562848231163414. eCollection 2023.
4
Rectosigmoid endometriosis: endoscopic ultrasound features and clinical implications.直肠乙状结肠子宫内膜异位症：内镜超声特征及临床意义
Endoscopy. 2000 Jul;32(7):525-30. doi: 10.1055/s-2000-9008.
5
Rectovaginal endometriosis with nodular smooth muscle metaplasia diagnosed via transrectal ultrasound-guided fine-needle aspiration cytology: An underused minimally invasive diagnostic technique?经直肠超声引导下细针抽吸细胞学诊断的伴有结节平滑肌化生的直肠阴道子宫内膜异位症：一种未充分应用的微创诊断技术？
Diagn Cytopathol. 2023 Oct;51(10):E273-E278. doi: 10.1002/dc.25183. Epub 2023 Jun 15.
6
Imaging modalities for the non-invasive diagnosis of endometriosis.子宫内膜异位症非侵入性诊断的成像方式
Cochrane Database Syst Rev. 2016 Feb 26;2(2):CD009591. doi: 10.1002/14651858.CD009591.pub2.
7
Other imaging techniques: Double-contrast barium enema, endoscopic ultrasonography, multidetector CT enema, and computed tomography colonoscopy.其他影像学技术：双重对比钡灌肠、内镜超声检查、多排 CT 结肠成像、计算机断层扫描结肠镜检查。
Best Pract Res Clin Obstet Gynaecol. 2021 Mar;71:64-77. doi: 10.1016/j.bpobgyn.2020.05.011. Epub 2020 Jun 8.
8
[Ureteric and bladder involvement of deep pelvic endometriosis. Value of multidisciplinary surgical management].[深部盆腔子宫内膜异位症累及输尿管和膀胱。多学科手术治疗的价值]
Prog Urol. 2006 Nov;16(5):588-93.
9
Endoscopic Ultrasonography-Guided Fine-Needle Aspiration for Duodenal Subepithelial Lesions Showing a Hypoechoic Mass on Endoscopic Ultrasound Imaging.内镜超声引导下细针抽吸术用于十二指肠黏膜下病变，这些病变在超声内镜成像上表现为低回声肿块。
Turk J Gastroenterol. 2023 Nov;34(11):1156-1162. doi: 10.5152/tjg.2023.22696.
10
Laparoscopic Double Discoid Resection With a Circular Stapler for Bowel Endometriosis.使用圆形吻合器行腹腔镜双盘状切除术治疗肠道子宫内膜异位症
J Minim Invasive Gynecol. 2015 Sep-Oct;22(6):929-31. doi: 10.1016/j.jmig.2015.04.021. Epub 2015 Apr 29.

引用本文的文献

1
Endometriosis Presenting as a Malignant Appearing Cecal Mass.表现为恶性外观盲肠肿块的子宫内膜异位症。
J Investig Med High Impact Case Rep. 2025 Jan-Dec;13:23247096251363014. doi: 10.1177/23247096251363014. Epub 2025 Aug 28.
2
Rectal endometriosis presenting as toxic megacolon.表现为中毒性巨结肠的直肠子宫内膜异位症。
Autops Case Rep. 2021 Sep 3;11:e2021319. doi: 10.4322/acr.2021.319. eCollection 2021.
3
Nonvisualized palpable bowel endometriotic satellites.未触及可视的可触及肠子宫内膜异位症卫星灶。

本文引用的文献

1
Preoperative assessment of intestinal endometriosis: A comparison of transvaginal sonography with water-contrast in the rectum, transrectal sonography, and barium enema.肠道子宫内膜异位症的术前评估：经阴道超声与直肠水造影、经直肠超声及钡灌肠的比较
Abdom Imaging. 2010 Dec;35(6):732-6. doi: 10.1007/s00261-010-9610-z.
2
Transvaginal ultrasonography with bowel preparation is able to predict the number of lesions and rectosigmoid layers affected in cases of deep endometriosis, defining surgical strategy.经肠道准备的经阴道超声检查能够预测深部子宫内膜异位症病例中病变和直肠乙状结肠受累的数量，从而确定手术策略。
Hum Reprod. 2010 Mar;25(3):665-71. doi: 10.1093/humrep/dep433. Epub 2009 Dec 19.
3
Hum Reprod. 2021 Feb 18;36(3):656-665. doi: 10.1093/humrep/deaa340.
4
Intestinal endometriosis in a 36-year-old woman.一名36岁女性的肠道子宫内膜异位症。
CMAJ. 2020 Aug 17;192(33):E960. doi: 10.1503/cmaj.191471.
5
Gastrointestinal and Urinary Tract Endometriosis: A Review on the Commonest Locations of Extrapelvic Endometriosis.胃肠道及泌尿道子宫内膜异位症：盆腔外子宫内膜异位症最常见部位的综述
Adv Med. 2018 Sep 26;2018:3461209. doi: 10.1155/2018/3461209. eCollection 2018.
6
Management of isolated superior mesenteric artery dissection.孤立性肠系膜上动脉夹层的管理
World J Gastroenterol. 2014 Dec 7;20(45):17179-84. doi: 10.3748/wjg.v20.i45.17179.
7
Rectal cancer staging: Correlation between the evaluation with radial echoendoscope and rigid linear probe.直肠癌分期：径向超声内镜与硬性线性探头评估的相关性。
Endosc Ultrasound. 2014 Jul;3(3):161-6. doi: 10.4103/2303-9027.138786.
8
Endosonography-assisted diagnosis and therapy of gastrointestinal submucosal tumors.超声内镜辅助诊断与治疗消化道黏膜下肿瘤
Endosc Ultrasound. 2013 Jul;2(3):125-33. doi: 10.7178/eus.06.003.
Endoscopic ultrasound and EUS-guided FNA in the diagnosis of rectal endometriosis.
内镜超声及内镜超声引导下细针穿刺活检在直肠子宫内膜异位症诊断中的应用
Ir Med J. 2009 Oct;102(9):301.
4
Preoperative work-up for patients with deeply infiltrating endometriosis: transvaginal ultrasonography must definitely be the first-line imaging examination.深部浸润型子宫内膜异位症患者的术前检查：经阴道超声检查绝对必须是一线影像学检查。
Hum Reprod. 2009 Mar;24(3):602-7. doi: 10.1093/humrep/den405. Epub 2008 Dec 17.
5
Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis.体格检查、经阴道超声检查、直肠内镜超声检查和磁共振成像诊断深部浸润性子宫内膜异位症的诊断准确性。
Fertil Steril. 2009 Dec;92(6):1825-33. doi: 10.1016/j.fertnstert.2008.09.005. Epub 2008 Nov 18.
6
Double-contrast barium enema and transrectal endoscopic ultrasonography in the diagnosis of intestinal deeply infiltrating endometriosis.双重对比钡灌肠和经直肠内镜超声检查在肠道深部浸润型子宫内膜异位症诊断中的应用
J Minim Invasive Gynecol. 2008 May-Jun;15(3):315-20. doi: 10.1016/j.jmig.2008.02.001.
7
Barium enema evaluation of colonic involvement in endometriosis.钡灌肠评估子宫内膜异位症累及结肠的情况。
AJR Am J Roentgenol. 2008 Apr;190(4):1050-4. doi: 10.2214/AJR.07.3062.
8
Pathogenesis of endometriosis based on endometrial homeoplasia, direct extension, exfoliation and implantation, lymphatic and hematogenous metastasis, including five case reports of endometrial tissue in pelvic lymph nodes.基于子宫内膜化生、直接蔓延、脱落与种植、淋巴及血行转移的子宫内膜异位症发病机制，包括盆腔淋巴结内子宫内膜组织的5例报告
Cancer. 1949 May;2(3):399-410. doi: 10.1002/1097-0142(194905)2:3<399::aid-cncr2820020304>3.0.co;2-l.
9
Accuracy of transvaginal sonography and rectal endoscopic sonography in the diagnosis of deep infiltrating endometriosis.经阴道超声检查和直肠内镜超声检查在诊断深部浸润型子宫内膜异位症中的准确性。
Ultrasound Obstet Gynecol. 2007 Dec;30(7):994-1001. doi: 10.1002/uog.4070.
10
Comparison between clinical examination, transvaginal sonography and magnetic resonance imaging for the diagnosis of deep endometriosis.临床检查、经阴道超声检查与磁共振成像在诊断深部子宫内膜异位症方面的比较。
Hum Reprod. 2007 Dec;22(12):3092-7. doi: 10.1093/humrep/dem187. Epub 2007 Oct 18.