Grigoriadis Georgios, Roman Horace, Kalaitzopoulos Dimitrios R, Christoforidis Nikos, Pados George, Daniilidis Angelos
Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Thessaloniki, GRC.
Department of Endometriosis Surgery, Franco-European Multidisciplinary Institute for Endometriosis, Bordeaux, FRA.
Cureus. 2023 Apr 21;15(4):e37950. doi: 10.7759/cureus.37950. eCollection 2023 Apr.
Accurate diagnosis and assessment of endometriosis by transvaginal ultrasound scan (TVS) can be challenging. We performed an online survey of specialist gynecologists who perform TVS on a regular basis regarding their views as well as clinical experience on the use of TVS in the diagnosis of endometrioma and deep endometriosis (DE). We collected 64 responses. Sixty-one participants (95.31%) answered that they can confidently diagnose endometrioma by TVS "always" or "most of the time". With the exception of DE of the recto-vaginal septum/posterior vaginal vault, for all other DE locations, more than 50% of participants felt that they can "rarely" or "never" diagnose it by TVS in their own clinical practice. Forty-two participants (65.6%) stated that additional, specialized training is required for the diagnosis of endometrioma. When asked about a diagnosis of DE, 58 participants (90.6%) felt that the same is required. The only statistically significant association was between the number of TVSs performed per year and the clinician's ability to diagnose bowel DE in their practice. The answers to all other questions did not differ significantly based on professional status, years of experience post-residency, or number of TVSs per year. Our results demonstrate the delayed adoption of novel diagnostic approaches in endometriosis and confirm the urgent need for specialized ultrasound training.
通过经阴道超声扫描（TVS）准确诊断和评估子宫内膜异位症可能具有挑战性。我们对定期进行TVS的妇科专家进行了一项在线调查，询问他们对TVS在诊断卵巢子宫内膜异位囊肿和深部子宫内膜异位症（DE）方面的看法和临床经验。我们收集了64份回复。61名参与者（95.31%）回答说，他们能够“总是”或“大多数时候”通过TVS自信地诊断卵巢子宫内膜异位囊肿。除了直肠阴道隔/阴道后穹窿的DE外，对于所有其他DE部位，超过50%的参与者认为在他们自己的临床实践中，他们“很少”或“从不”能通过TVS诊断出DE。42名参与者（65.6%）表示，诊断卵巢子宫内膜异位囊肿需要额外的专业培训。当被问及DE的诊断时，58名参与者（90.6%）认为同样需要专业培训。唯一具有统计学意义的关联是每年进行TVS的次数与临床医生在实践中诊断肠道DE的能力之间的关联。所有其他问题的答案在专业地位、住院后工作年限或每年进行TVS的次数方面没有显著差异。我们的结果表明，子宫内膜异位症新诊断方法的采用有所延迟，并证实了对专业超声培训的迫切需求。
