Terminology for describing normally sited and ectopic pregnancies on ultrasound: ESHRE recommendations for good practice.
Terminology for describing normally sited and ectopic pregnancies on ultrasound: ESHRE recommendations for good practice.
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超声描述正常部位妊娠和异位妊娠的术语：ESHRE 良好实践建议。
DOI：
10.1093/hropen/hoaa055
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发表时间：
2020
影响因子：
8.3
通讯作者：
Jurkovic D
中科院分区：
文献类型：
--
作者：
ESHRE working group on Ectopic Pregnancy;Kirk E;Ankum P;Jakab A;Le Clef N;Ludwin A;Small R;Tellum T;Töyli M;Van den Bosch T;Jurkovic D
可以提供哪些建议来改进超声描述正常和异位妊娠的术语？目前的 ESHRE 文件就如何通过超声描述正常部位和不同类型的宫外孕提供了 17 条共识建议。目前的诊断标准规定，每种类型的宫外孕都可以通过明确的解剖标志来定义，从而有助于做出正确的诊断。然而，仍然缺乏正常部位妊娠的明确定义和宫外孕的全面分类。由 ESHRE 着床和早期妊娠特别兴趣小组 (SIG-IEP) 成员和选定的超声专家组成的工作组成立，旨在撰写有关异位妊娠分类的建议。该工作组由九名来自不同国籍的成员组成，他们在超声和超声诊断宫外孕方面拥有国际公认的经验。本文件是根据 ESHRE 良好实践建议制定手册制定的。工作组对这些建议进行了讨论，直至达成共识，并得到了 ESHRE SIG-IEP 成员调查的支持。超声扫描对正常部位妊娠的明确定义对于避免子宫异位妊娠的误诊非常重要。宫外孕的全面分类必须包括每种宫外孕类型的定义和描述。只有为所有可能的异位妊娠部位提供描述和诊断标准的分类才适合在常规临床实践中使用。工作组针对超声诊断不同类型的宫外孕制定了 17 条建议。此外，对于每种类型的宫外孕，还提供了 2D 和 3D 超声的示意图和示例。由于现有证据有限，建议主要基于临床和技术专业知识。该文件预计将对早孕超声的临床实践产生重大影响。该术语的发展将有助于降低误诊和不适当治疗的风险。工作组会议由 ESHRE 资助。 T.T. 向 GE Healthcare 申报演讲费用。其他作者声明他们没有利益冲突。不适用 本良好实践建议 (GPR) 文件代表 ESHRE 的观点，是相关 ESHRE 利益相关者之间达成共识的结果，并且相关内容基于编写时可用的科学证据。 ESHRE 的 GPR 应用于信息和教育目的。它们不应被解释为设定护理标准，或被视为包括所有适当的护理方法，也不应排除合理地旨在获得相同结果的其他护理方法。它们不能取代对每个个体表现应用临床判断的需要，也不能取代基于地点和设施类型的变化。此外，ESHRE 的 GPR 并不构成或暗示 ESHRE 对所包含的任何技术的认可、推荐或青睐。
What recommendations can be provided to improve terminology for normal and ectopic pregnancy description on ultrasound? The present ESHRE document provides 17 consensus recommendations on how to describe normally sited and different types of ectopic pregnancies on ultrasound. Current diagnostic criteria stipulate that each type of ectopic pregnancy can be defined by clear anatomical landmarks which facilitates reaching a correct diagnosis. However, a clear definition of normally sited pregnancies and a comprehensive classification of ectopic pregnancies are still lacking. A working group of members of the ESHRE Special Interest Group in Implantation and Early Pregnancy (SIG-IEP) and selected experts in ultrasound was formed in order to write recommendations on the classification of ectopic pregnancies. The working group included nine members of different nationalities with internationally recognised experience in ultrasound and diagnosis of ectopic pregnancies on ultrasound. This document is developed according to the manual for development of ESHRE recommendations for good practice. The recommendations were discussed until consensus by the working group, supported by a survey among the members of the ESHRE SIG-IEP. A clear definition of normally sited pregnancy on ultrasound scan is important to avoid misdiagnosis of uterine ectopic pregnancies. A comprehensive classification of ectopic pregnancy must include definitions and descriptions of each type of ectopic pregnancy. Only a classification which provides descriptions and diagnostic criteria for all possible locations of ectopic pregnancy would be fit for use in routine clinical practice. The working group formulated 17 recommendations on the diagnosis of the different types of ectopic pregnancies on ultrasound. In addition, for each of the types of ectopic pregnancy, a schematic representation and examples on 2D and 3D ultrasound are provided. Owing to the limited evidence available, recommendations are mostly based on clinical and technical expertise. This document is expected to have a significant impact on clinical practice in ultrasound for early pregnancy. The development of this terminology will help to reduce the risk of misdiagnosis and inappropriate treatment. The meetings of the working group were funded by ESHRE. T.T. declares speakers’ fees from GE Healthcare. The other authors declare that they have no conflict of interest. N/A This Good Practice Recommendations (GPR) document represents the views of ESHRE, which are the result of consensus between the relevant ESHRE stakeholders and where relevant based on the scientific evidence available at the time of preparation. ESHRE’s GPRs should be used for informational and educational purposes. They should not be interpreted as setting a standard of care or be deemed inclusive of all proper methods of care nor exclusive of other methods of care reasonably directed to obtaining the same results. They do not replace the need for application of clinical judgement to each individual presentation, nor variations based on locality and facility type. Furthermore, ESHRE’s GPRs do not constitute or imply the endorsement, recommendation or favouring of any of the included technologies by ESHRE.
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影响因子：
7.2
作者：
Comstock, C;Huston, K;Lee, W
通讯作者：
Lee, W
影响因子：
7.1
作者：
Dooley, W. M.;Chaggar, P.;Jurkovic, D.
通讯作者：
Jurkovic, D.
DOI：
10.1111/1471-0528.15255
发表时间：
2018-12-01
影响因子：
5.8
作者：
Harb, H. M.;Knight, M.;Jurkovic, D.
通讯作者：
Jurkovic, D.
影响因子：
9.8
作者：
Miller, Russell;Timor-Tritsch, Ilan E.;Gyamfi-Bannerman, Cynthia
通讯作者：
Gyamfi-Bannerman, Cynthia
影响因子：
7.1
作者：
Bignardi, T.;Condous, G.
通讯作者：
Condous, G.