Monash Women's, Monash Medical Centre, Monash Health, Clayton, Victoria, Australia.
Department of Obstetrics and Gynecology, Monash University, Clayton, Victoria, Australia.
J Ultrasound Med. 2021 Nov;40(11):2289-2306. doi: 10.1002/jum.15635. Epub 2021 Jan 27.
We aim to first systematically review and perform a meta-analysis of the diagnostic accuracy of transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI) and, second, to evaluate the accuracy of various sonographic diagnostic criteria for adenomyosis. A search of PubMed and Embase yielded 32 eligible studies. In diagnosing adenomyosis, the diagnostic performance of TVUS was found to be high and comparable to the performance of MRI. Of the eight sonographic criteria, only five were assessable. The best individual criterion was echogenic subendometrial lines and buds. Limited data exist for the various sonographic criteria, and further studies are required to compare their performance.
我们旨在首先系统地回顾和进行经阴道超声（TVUS）和磁共振成像（MRI）的诊断准确性的荟萃分析，其次评估各种超声诊断标准用于诊断子宫腺肌病的准确性。通过对 PubMed 和 Embase 的检索，共获得 32 项符合条件的研究。在诊断子宫腺肌病方面，TVUS 的诊断性能被发现较高，与 MRI 的性能相当。在这 8 个超声标准中，只有 5 个是可评估的。最佳的单个标准是子宫内膜下回声线和芽。对于各种超声标准，目前数据有限，需要进一步的研究来比较它们的性能。
