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经阴道超声检查在深部浸润性子宫内膜异位症诊断中的应用综述

Transvaginal sonography in the diagnosis of deep infiltrating endometriosis: A review.

作者信息

Turocy Jenna M, Benacerraf Beryl R

机构信息

Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA.

Departments of Radiology and Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA, USA.

出版信息

J Clin Ultrasound. 2017 Jul 8;45(6):313-318. doi: 10.1002/jcu.22483. Epub 2017 Apr 17.

DOI:10.1002/jcu.22483
PMID:28414865
Abstract

This review summarizes the current evidence regarding the diagnostic accuracy of sonography (US) in women with deep infiltrating endometriosis (DIE). It is well known that transvaginal ultrasound (TVUS) can detect ovarian endometriomas with a high degree of sensitivity. In recent years, US has also been used to detect DIE. In the hands of an experienced sonologist, the sensitivity and specificity of TVUS in the detection of DIE is comparable to those of MRI. TVUS can eliminate the need for an MRI in the majority of patients and reduce the need for diagnostic laparoscopy, proving to be an important tool in preoperative planning. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:313-318, 2017.

摘要

本综述总结了目前关于超声检查(US)对深部浸润型子宫内膜异位症(DIE)女性诊断准确性的证据。众所周知,经阴道超声(TVUS)能够高度灵敏地检测出卵巢子宫内膜异位囊肿。近年来,超声也已用于检测深部浸润型子宫内膜异位症。在经验丰富的超声科医生手中,经阴道超声检测深部浸润型子宫内膜异位症的敏感性和特异性与磁共振成像(MRI)相当。经阴道超声可使大多数患者无需进行磁共振成像检查,并减少诊断性腹腔镜检查的需求,已证明是术前规划中的一项重要工具。©2016威利期刊公司。《临床超声杂志》45:313 - 318,2017年。

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