磁共振成像对妊娠前后深部浸润型子宫内膜异位症结节的表现：病例系列。
Magnetic resonance imaging presentation of deep infiltrating endometriosis nodules before and after pregnancy: A case series.
机构信息
Centre de Radiologie IMPC Bachaumont Pole femme-mere-enfant, Paris, France.
Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Assistance Publique-Hôpitaux de Paris (AP-HP), Service de Chirurgie Gynécologie Obstétrique II et Médecine de la Reproduction, Hôpital Universitaire Paris Centre (HUPC), Centre Hospitalier Universitaire (CHU) Cochin, Paris, France.
出版信息
PLoS One. 2019 Oct 4;14(10):e0223330. doi: 10.1371/journal.pone.0223330. eCollection 2019.
OBJECTIVE
To compare the magnetic resonance imaging (MRI) features of deep infiltrating endometriosis (DIE) lesions before and after pregnancy.
DESIGN
Retrospective study.
SETTING
A single French university tertiary referral hospital.
PATIENTS
Twenty-one women without a prior history of surgery for endometriosis with a radiological diagnosis by MRI with two sets of examinations performed before and after pregnancy.
INTERVENTIONS
The volumes of the lesions were compared using the same protocol before and after pregnancy based on MRI (1.5 T) examinations by a single experienced radiologist who is a referring practitioner for image-based diagnosis of endometriosis.
MAIN OUTCOME MEASURE(S): The DIE lesion volume.
MEASUREMENTS AND MAIN RESULTS
Between October 2012 and December 2016, a total of 21 patients (67 lesions) were included and compared before and after pregnancy. The mean time interval between the MRI before pregnancy and delivery was 19.6 ± 8.5 months (median: 17.6, IQR 13.5-25.2 months). The mean time interval between delivery and the MRI after pregnancy was 11.0 ± 6.4 months (median: 8.3, IQR 6-15.2 months). The mean overall DIE lesion volume by MRI was significantly higher before pregnancy compared to after pregnancy (2,552 ± 3,315 mm3 vs. 1,708 ± 3,266 mm3, respectively, p < 0.01). The mean volume by MRI of the largest lesion of each patient was significantly higher before pregnancy compared to after pregnancy (4,728 ± 4,776 mm3 vs. 3165 ± 5299 mm3; p < 0.01).
CONCLUSION
Our data indicate a favorable impact of pregnancy on DIE lesion volumes as measured by MRI.
目的
比较妊娠前后深部浸润型子宫内膜异位症（DIE）病变的磁共振成像（MRI）特征。
设计
回顾性研究。
地点
法国一家大学的三级转诊医院。
患者
21 名无先前手术史的子宫内膜异位症患者，通过 MRI 进行放射学诊断，在妊娠前后进行了两组检查。
干预措施
由一名有经验的放射科医生（一位子宫内膜异位症的图像诊断转诊医生）使用相同的方案在妊娠前后对病变体积进行比较。
主要观察指标
DIE 病变体积。
测量和主要结果
2012 年 10 月至 2016 年 12 月，共纳入 21 名患者（67 个病灶），并进行了妊娠前后的比较。妊娠前 MRI 与分娩之间的平均时间间隔为 19.6 ± 8.5 个月（中位数：17.6，IQR 13.5-25.2 个月）。分娩后与妊娠后 MRI 之间的平均时间间隔为 11.0 ± 6.4 个月（中位数：8.3，IQR 6-15.2 个月）。妊娠前 MRI 总体 DIE 病变体积明显高于妊娠后（分别为 2552 ± 3315 mm3 和 1708 ± 3266 mm3，p < 0.01）。每个患者最大病变的 MRI 体积也明显高于妊娠后（分别为 4728 ± 4776 mm3 和 3165 ± 5299 mm3；p < 0.01）。
结论
我们的数据表明，妊娠对 MRI 测量的 DIE 病变体积有积极影响。
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