Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis
Diagnostic accuracy of physical examination, transvaginal sonography, rectal endoscopic sonography, and magnetic resonance imaging to diagnose deep infiltrating endometriosis
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DOI：
10.1016/j.fertnstert.2008.09.005
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发表时间：
2009-12-01
影响因子：
6.7
通讯作者：
Darai, Emile
中科院分区：
文献类型：
--
作者：
Bazot, Marc;Lafont, Clarisse;Darai, Emile
目的：比较体格检查、经阴道超声检查（TVS）、直肠内镜超声检查（RES）和磁共振成像（MRI）对不同部位深浸润性子宫内膜异位症（DIE）的评估价值。设计：回顾性纵向研究。单位：高等学校妇科。患者：92例有骨盆子宫内膜异位症临床证据的连续患者。干预措施：术前进行体格检查、TVS、RES和MRI。主要结局测量(S)：描述性统计，计算体格检查、TVS、RES和MRI的似然比（LR+和LR-）。手术/组织学证实的特定部位的死亡。结果：子宫骶韧带子宫内膜异位症的体格检查、TVS、RES、MRI的敏感性、LR+、LR-值分别为73.5%、3.3、0.34、78.3%、2.34、0.32、48.2%、0.86、1.16、84.4%、7.59、0.18；阴道子宫内膜异位症为50%、3.88和0.57、46.7%、9.64和0.56、6.7%、-和0.93、80%、5.51和0.23；肠道子宫内膜异位症分别为46%、1.67、0.75、93.6%、-、0.06、88.9%、12.89、0.12、87.3%、12.66、0.14。结论：MRI对肠道子宫内膜异位症的诊断效果与TVS和RES相似，但对子宫骶韧带和阴道子宫内膜异位症的敏感性和似然比更高。[j] .中国农业科学（英文版），2009;22(2):533 - 533。(C)2009年美国生殖医学学会。)
Objective: To compare the value of physical examination, transvaginal sonography (TVS), rectal endoscopic sonography (RES), and magnetic resonance imaging (MRI) for the assessment of different locations of deep infiltrating endometriosis (DIE).Design: Retrospective longitudinal study.Setting: Tertiary university gynecology unit.Patient(s): Ninety-two consecutive patients with clinical evidence of pelvic endometriosis.Intervention(s): Physical examination, TVS, RES, and MRI, performed preoperatively.Main Outcome Measure(S): Descriptive statistics, calculation of likelihood ratios (LR+ and LR-) of physical examination, TVS, RES, and MRI. for DIE in specific locations confirmed by surgery/histology.Result(s): The sensitivity and LR+ and LR- values of physical examination, TVS, RES, and MRI were, respectively, 73.5%, 3.3, and 0.34,78.3%, 2.34, and 0.32, 48.2%,0.86, and 1.16, and 84.4%, 7.59, and 0.18 for uterosacral ligament endometriosis; 50%, 3.88, and 0.57, 46.7%, 9.64, and 0.56, 6.7%, -, and 0.93, and 80%, 5.51, and 0.23 for vaginal endometriosis; and 46%, 1.67, and 0.75, 93.6%, -, and 0.06, 88.9%, 12.89, and 0.12, and 87.3%, 12.66, and 0.14 for intestinal endometriosis.Conclusion(s): The MRI performs similarly to TVS and RES for the diagnosis of intestinal endometriosis but has higher sensitivity and likelihood ratios for uterosacral ligament and vaginal endometriosis. (Fertil Steril (R) 2009;92:1825-33. (C)2009 by American Society for Reproductive Medicine.)