Mercy Hospital for Women, Heidelberg, Victoria, Australia..
Mercy Hospital for Women, Heidelberg, Victoria, Australia.
J Minim Invasive Gynecol. 2019 Mar-Apr;26(3):427-433. doi: 10.1016/j.jmig.2018.05.007. Epub 2018 Jun 30.
To assess the usefulness of narrowband imaging (NBI) to detect additional areas of endometriosis not identified by standard white light in patients undergoing laparoscopy for the investigation of pelvic pain.
A prospective cohort trial (Canadian Task Force classification II). Evidence obtained from a well-designed cohort study.
A tertiary laparoscopic subspecialty unit in Melbourne, Australia.
Fifty-seven patients undergoing laparoscopy for the investigation of pelvic pain were recruited. Fifty-three patients were eligible for analysis.
Patients underwent standard white-light laparoscopy of the pelvis followed by NBI survey to assess for any additional areas suspicious for endometriosis.
All identified areas of possible endometriosis were resected and sent for blinded histopathological analysis. The additional predictive value of NBI was 0% if the preceding white-light survey was negative and 86% if the preceding white-light survey was positive.
The use of NBI at laparoscopy for the investigation of pelvic pain is beneficial in finding additional areas of endometriosis if endometriosis is already suspected after white-light survey in a tertiary laparoscopic unit. Further research in nonspecialized units may show additional benefit and requires further research. NBI may also be useful as a diagnostic aid for trainees.
评估窄带成像（NBI）在腹腔镜检查盆腔痛患者时对标准白光未能识别的子宫内膜异位症额外区域的检测作用。
前瞻性队列试验（加拿大任务组分类 II 级）。来自精心设计的队列研究的证据。
澳大利亚墨尔本的三级腹腔镜专科单位。
招募了 57 例因盆腔痛而行腹腔镜检查的患者。53 例患者符合分析条件。
患者行标准白光腹腔镜盆腔检查，然后进行 NBI 检查，以评估任何可疑的子宫内膜异位症额外区域。
所有可疑的子宫内膜异位症区域均被切除并进行盲法组织病理学分析。如果术前白光检查为阴性，NBI 的额外预测价值为 0%；如果术前白光检查为阳性，NBI 的额外预测价值为 86%。
在三级腹腔镜单位，如果在白光检查后已经怀疑子宫内膜异位症，那么在腹腔镜检查盆腔痛时使用 NBI 可以发现子宫内膜异位症的额外区域。在非专科单位进一步研究可能会显示出额外的益处，需要进一步研究。NBI 也可能对学员作为一种诊断辅助工具有用。
