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首页> 外文期刊>Gynecological Surgery >Luteal phase transvaginal scan examinations have better diagnostic potential for showing focal subendometrial adenomyosis
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Luteal phase transvaginal scan examinations have better diagnostic potential for showing focal subendometrial adenomyosis

机译：黄体期阴道扫描检查具有更好的诊断潜力，可显示局灶性子宫内膜下腺肌病

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摘要

The objective of this preliminary observational study was to monitor changes in focal cystic and non-cystic subendometrial lesions reminiscent of adenomyosis seen during the luteal phase of the cycle by repeating transvaginal ultrasound scan examinations during the follicular phase. Five patients who presented with abnormal uterine bleeding with or without dysmenorrhoea showed such lesions, following luteal phase transvaginal scanning. All lesions became smaller and less conspicuous, or an indiscriminate endometrial/myometrial interface was seen in the suspected areas during the follicular phase. Midcycle scanning of one patient showed enhancement of the irregular subendometrial area, but still without reaching the same size, or attaining an echogenic pattern as seen during the initial luteal phase examination. We hypothesise that luteal phase transvaginal scan examinations of the uterus may have better potential for diagnosing focal subendometrial adenomyosis than follicular phase scanning. This is because of the echogenic characteristics of a secretory endometrium relative to the neighbouring inner myometrium. More work is needed to verify these findings and to test our hypothesis.
机译：这项初步观察性研究的目的是通过在卵泡期重复经阴道超声扫描检查来监测局部黄体囊性和非囊性子宫内膜下病变的变化，从而使人想起在周期的黄体期所见的子宫腺肌病。在黄体期经阴道扫描后，有5例表现为子宫异常出血并伴或不伴痛经的患者均出现了此类病变。在卵泡期的可疑区域，所有病变均变小且不那么明显，或在子宫内膜/子宫肌层界面上看到了不加区分的斑点。一名患者的中位周期扫描显示不规则子宫内膜下区域增大，但仍未达到相同大小，或未达到最初的黄体期检查所见的回声模式。我们假设子宫的黄体期经阴道扫描检查可能比卵泡期扫描有更好的诊断局灶性子宫内膜下子宫腺肌病的潜力。这是由于分泌性子宫内膜相对于邻近的内部子宫内膜的回声特性。需要更多的工作来验证这些发现并检验我们的假设。

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