Invasive and noninvasive methods for the diagnosis of endometriosis.
Invasive and noninvasive methods for the diagnosis of endometriosis.
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DOI：
10.1097/grf.0b013e3181db7ce8
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发表时间：
2010-06
影响因子：
1.5
通讯作者：
Stratton P
中科院分区：
文献类型：
--
作者：
Hsu AL;Khachikyan I;Stratton P
子宫内膜异位症与疼痛和不孕有关。诊断子宫内膜异位症的金标准一直是通过腹腔镜目视检查，最好是组织学证实。由于没有很好的子宫内膜异位症的非侵入性检查，这种疾病的诊断往往会有很大的延迟。影像学检查证实子宫内膜异位囊肿或深部浸润性子宫内膜异位有助于指导手术治疗。没有发现诊断子宫内膜异位症的血清标志物具有足够的敏感性和特异性。子宫内膜异位症患者的在位子宫内膜中存在神经纤维是最近的焦点。
Endometriosis has been associated with pain and infertility. The gold standard for the diagnosis of endometriosis has been visual inspection by laparoscopy, preferably with histological confirmation. Because there is no good noninvasive test for endometriosis, there is often a significant delay in diagnosis of this disease. Imaging that confirms an endometriotic cyst or deep infiltrating endometriosis may help guide surgical therapeutic approaches. No serum marker has been found to diagnose endometriosis with adequate sensitivity and specificity. There has been a recent focus on the presence of nerve fibers in the eutopic endometrium of patients with endometriosis.