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用于诊断盆腔深部子宫内膜异位症和子宫内膜异位症分类系统的非侵入性成像技术:国际共识声明。

Non-invasive imaging techniques for diagnosis of pelvic deep endometriosis and endometriosis classification systems: An International Consensus Statement.

机构信息

Acute Gynaecology, Early Pregnancy & Advanced Endosurgery Unit, Sydney Medical School Nepean, University of Sydney, Nepean Hospital, Penrith, NSW, Australia.

Sydney West Advanced Pelvic Surgery (SWAPS), Blacktown Hospital, Blacktown, NSW, Australia.

出版信息

Eur J Radiol. 2024 Jul;176:111450. doi: 10.1016/j.ejrad.2024.111450. Epub 2024 May 29.

DOI:10.1016/j.ejrad.2024.111450
PMID:38879203
Abstract

The International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) and International Deep Endometriosis Analysis (IDEA) group, the European Endometriosis League (EEL), the European Society for Gynaecological Endoscopy (ESGE), the European Society of Human Reproduction and Embryology (ESHRE), the International Society for Gynecologic Endoscopy (ISGE), the American Association of Gynecologic Laparoscopists (AAGL) and the European Society of Urogenital Radiology (ESUR) elected an international, multidisciplinary panel of gynecological surgeons, sonographers and radiologists, including a steering committee, which searched the literature for relevant articles in order to review the literature and provide evidence-based and clinically relevant statements on the use of imaging techniques for non-invasive diagnosis and classification of pelvic deep endometriosis. Preliminary statements were drafted based on review of the relevant literature. Following two rounds of revisions and voting orchestrated by chairs of the participating societies, consensus statements were finalized. A final version of the document was then resubmitted to the society chairs for approval. Twenty statements were drafted, of which 14 reached strong and three moderate agreement after the first voting round. The remaining three statements were discussed by all members of the steering committee and society chairs and rephrased, followed by an additional round of voting. At the conclusion of the process, 14 statements had strong and five statements moderate agreement, with one statement left in equipoise. This consensus work aims to guide clinicians involved in treating women with suspected endometriosis during patient assessment, counseling and planning of surgical treatment strategies. This Consensus Statement should be cited as: 'G. Condous, B. Gerges, I. Thomassin-Naggara, C. Becker, C. Tomassetti, H. Krentel, B.J. van Herendael, M. Malzoni, M. S. Abrao, E. Saridogan, J. Keckstein, G. Hudelist and Collaborators. Non-invasive imaging techniques for diagnosis of pelvic deep endometriosis and endometriosis classification systems: An International Consensus Statement. Eur. J. Radiol. 2024. https://doi.org/10.1016/j.ejrad.2024.111450.'

摘要

国际妇产科超声学会(ISUOG)和国际深部子宫内膜异位症分析(IDEA)组、欧洲子宫内膜异位症联盟(EEL)、欧洲妇科内镜学会(ESGE)、欧洲人类生殖与胚胎学会(ESHRE)、国际妇科内镜学会(ISGE)、美国妇科腹腔镜医师协会(AAGL)和欧洲泌尿生殖放射学会(ESUR)选举了一个国际多学科妇科外科医生、超声科医生和放射科医生小组,包括一个指导委员会,该委员会搜索了相关文献,以审查文献并提供关于使用成像技术进行非侵入性诊断和分类盆腔深部子宫内膜异位症的循证和临床相关陈述。初步陈述是基于对相关文献的审查起草的。在参与学会的主席组织的两轮修订和投票后,达成了共识声明。然后提交最终版本的文件供学会主席批准。起草了 20 项声明,其中 14 项在第一轮投票后达成强烈共识,3 项达成中等共识。其余 3 项由指导委员会和学会主席的所有成员进行讨论,并重新措辞,然后进行另一轮投票。在整个过程结束时,14 项声明得到强烈共识,5 项声明得到中等共识,1 项声明处于平衡状态。这项共识工作旨在指导参与治疗疑似子宫内膜异位症女性的临床医生进行患者评估、咨询和手术治疗策略规划。本共识声明应引用为:“G. Condous、B. Gerges、I. Thomassin-Naggara、C. Becker、C. Tomassetti、H. Krentel、B.J. van Herendael、M. Malzoni、M. S. Abrao、E. Saridogan、J. Keckstein、G. Hudelist 和合作者。用于诊断盆腔深部子宫内膜异位症和子宫内膜异位症分类系统的非侵入性成像技术:国际共识声明。欧洲放射学杂志。2024 年。https://doi.org/10.1016/j.ejrad.2024.111450。”

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