如何进行超声检查以诊断子宫内膜异位症。
How to perform an ultrasound to diagnose endometriosis.
作者信息
Leonardi Mathew, Condous George
机构信息
Acute Gynaecology Early Pregnancy and Advanced Endosurgery Unit Sydney Medical School Nepean University of Sydney Nepean Hospital Sydney New South Wales Australia.
出版信息
Australas J Ultrasound Med. 2018 Apr 22;21(2):61-69. doi: 10.1002/ajum.12093. eCollection 2018 May.
Abstract
Ultrasound has become an invaluable tool for the workup and management of patients with symptoms and signs of endometriosis. Until the publication on the systematic approach to ultrasound in patients with suspected endometriosis by the International Deep Endometriosis Analysis (IDEA) group, there was significant heterogeneity in the scientific literature in nomenclature, definitions and components of this particular scan. Despite the concise four steps outlined in their consensus statement, the nature of this ultrasound is advanced, complex and time consuming. Without intending to oversimplify the task, we propose a practical and comprehensive approach on how to perform an ultrasound scan to assess the pelvis of a woman with potential underlying endometriosis.
摘要
超声已成为对有子宫内膜异位症症状和体征的患者进行检查和管理的一项宝贵工具。在国际深部子宫内膜异位症分析（IDEA）小组发表关于疑似子宫内膜异位症患者超声检查的系统方法之前，科学文献中关于这种特定扫描的命名、定义和组成部分存在显著异质性。尽管他们的共识声明中概述了简洁的四个步骤，但这种超声检查的性质是先进、复杂且耗时的。在无意过度简化任务的情况下，我们提出一种实用且全面的方法，介绍如何进行超声扫描以评估可能患有潜在子宫内膜异位症的女性盆腔情况。
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本文引用的文献
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Bowel Preparation Improves the Accuracy of Transvaginal Ultrasound in the Diagnosis of Rectosigmoid Deep Infiltrating Endometriosis: A Prospective Study.肠道准备提高经阴道超声诊断直肠乙状结肠深部浸润型子宫内膜异位症的准确性：一项前瞻性研究。
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Sonovaginography: redefining the concept of a "normal pelvis" on transvaginal ultrasound pre-laparoscopic intervention for suspected endometriosis.超声阴道造影术：在腹腔镜手术干预疑似子宫内膜异位症前经阴道超声检查中重新定义“正常骨盆”的概念。
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Ultrasound Obstet Gynecol. 2016 Sep;48(3):318-32. doi: 10.1002/uog.15955. Epub 2016 Jun 28.
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Should a detailed ultrasound examination of the complete urinary tract be routinely performed in women with suspected pelvic endometriosis?对于疑似盆腔子宫内膜异位症的女性，是否应常规进行全尿路的详细超声检查？
Hum Reprod. 2015 Dec;30(12):2802-7. doi: 10.1093/humrep/dev246. Epub 2015 Oct 3.
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