Yano K, Suginami H, Matsuura S
Department of Obstetrics and Gynecology, Ehime University School of Medicine.
Nihon Sanka Fujinka Gakkai Zasshi. 1987 Nov;39(11):2011-6.
Fifty-six women with endometriosis were examined for cul-de-sac endometriosis by ultrasonography and laparoscopy. Ultrasonographic cul-de-sac findings were classified into 3 groups; i.e. Group A (n = 21): no remarkable findings, Group B (n = 16): several nodular hyperechoic or cystic hypoechoic areas, and Group C (n = 19): multiple nodular or cystic areas and/or discontinuation of the contour of the posterior uterine wall. Laparoscopic cul-de-sac findings were classified into 3 groups; i.e. Group alpha (n = 6): no endometriosis, Group beta (n = 28): minimal or mild endometriosis, and Group gamma (n = 22): advanced endometriosis with or without cul-de-sac obliteration. Over-all coincidence of both findings was 50%. The rate of coincidence was significantly higher (p less than 0.05) in Group gamma (15/22) than in Group beta (9/28). This indicates that the diagnosis of minimal or mild cul-de-sac endometriosis by means of ultrasonography is difficult but that ultrasonography might be useful in diagnosing advanced cul-de-sac endometriosis.
对56例患有子宫内膜异位症的女性进行了超声检查和腹腔镜检查，以评估直肠子宫陷凹处的子宫内膜异位症情况。超声检查直肠子宫陷凹的结果分为3组：即A组（n = 21）：无明显异常；B组（n = 16）：有多个结节状高回声或囊性低回声区；C组（n = 19）：有多个结节状或囊性区和/或子宫后壁轮廓中断。腹腔镜检查直肠子宫陷凹的结果分为3组：即α组（n = 6）：无子宫内膜异位症；β组（n = 28）：轻度或中度子宫内膜异位症；γ组（n = 22）：重度子宫内膜异位症伴或不伴有直肠子宫陷凹闭塞。两种检查结果的总体符合率为50%。γ组（15/22）的符合率显著高于β组（9/28）（p < 0.05）。这表明，通过超声检查诊断轻度或中度直肠子宫陷凹子宫内膜异位症较为困难，但超声检查可能有助于诊断重度直肠子宫陷凹子宫内膜异位症。
