直肠超声内镜与磁共振成像在诊断大肠子宫内膜异位症中的准确性比较
[Comparison of the accuracy of rectal endoscopic sonography and magnetic resonance imaging in the diagnosis of colorectal endometriosis].
作者信息
Kanté F, Belghiti J, Roseau G, Thomassin-Naggara I, Bazot M, Daraï E, Ballester M
机构信息
Service de gynécologie-obstétrique, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France; Service de radiologie, hôpital Tenon, AP-HP, Paris, France.
Service de chirurgie et oncologie gynécologique et mammaire, hôpital Pitié-Salpêtrière, AP-HP, 75013 Paris, France.
出版信息
Gynecol Obstet Fertil Senol. 2017 Mar;45(3):131-136. doi: 10.1016/j.gofs.2017.01.009. Epub 2017 Feb 28.
OBJECTIVE
To compare the accuracy of magnetic resonance imaging (MRI) and rectal endoscopic sonography (RES) for the diagnosis of colorectal endometriosis.
METHODS
In retrospective study, 407 patients operated on service of gynecology of Tenon hospital for deep endometriosis with suspected colorectal involvement. All patients underwent MRI and then RES.
RESULTS
In the study, 239 patients (59%) had colorectal endometriosis which were diagnosed with the histology. The sensitivity, specificity, positive and negative predictive value (PPV and NPV) of RES and MRI for the diagnosis of colorectal endometriosis were respectively 92%, 87%, 91%, 88% and 85%, 88%, 91%, 80%. The accuracy of RES was not significantly different than MRI (90% versus 86%, P=0.09).
CONCLUSION
RES is a good exam to diagnose colorectal endometriosis. It is able to improve diagnosis performances.
目的
比较磁共振成像（MRI）和直肠内镜超声检查（RES）诊断结直肠子宫内膜异位症的准确性。
方法
在一项回顾性研究中，407例在特农医院妇科接受手术治疗的深部子宫内膜异位症患者疑似累及结直肠。所有患者均先接受MRI检查，然后接受RES检查。
结果
在该研究中，239例（59%）患者经组织学诊断为结直肠子宫内膜异位症。RES和MRI诊断结直肠子宫内膜异位症的敏感性、特异性、阳性和阴性预测值（PPV和NPV）分别为92%、87%、91%、88%和85%、88%、91%、80%。RES的准确性与MRI无显著差异（90%对86%，P=0.09）。
结论
RES是诊断结直肠子宫内膜异位症的一项良好检查。它能够提高诊断效能。
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