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首页> 外文期刊>Ultrasound in obstetrics & gynecology: the official journal of the International Society of Ultrasound in Obstetrics and Gynecology >Comparison between transvaginal sonography, saline contrast sonovaginography and magnetic resonance imaging in the diagnosis of posterior deep infiltrating endometriosis.
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Comparison between transvaginal sonography, saline contrast sonovaginography and magnetic resonance imaging in the diagnosis of posterior deep infiltrating endometriosis.

机译：经阴道超声检查，生理盐水超声检查与磁共振成像在后深浸润性子宫内膜异位症诊断中的比较。

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摘要

To compare clinical evaluation, transvaginal sonography (TVS), saline contrast sonovaginography (SCSV) and magnetic resonance imaging (MRI) in the diagnosis of posterior deep pelvic endometriosis (DPE).Women suspected of having posterior DPE on the basis of subjective symptoms and clinical evaluation underwent digital vaginal and rectal examination, TVS, SCSV and MRI. Laparoscopy was performed and specimens were sent for histological examination. Sensitivity, specificity, positive and negative predictive value, as well as positive and negative likelihood ratios were analyzed for each diagnostic method.Fifty-four out of 102 women suspected of having posterior DPE underwent laparoscopic surgery. Among these, in 46 (85.2%) cases DPE was confirmed at laparoscopic and histological examination. SCSV correctly identified 43 (93.5%) cases, presenting higher accuracy than did the other procedures. SCSV and MRI were more accurate in diagnosing and discriminating between the different locations of endometriotic lesions, with respective sensitivities of 94.7 and 73.1% for vaginal fornix, 88.9 and 66.7% for the uterosacral ligaments and 80.6 and 83.3% for involvement of the rectovaginal septum. The specificity of SCSV and MRI, respectively, was 97.1 and 94.3% for vaginal fornix, 95.6 and 95.6% for uterosacral ligaments and 100 and 77.8% for involvement of the rectovaginal septum. In the diagnosis of rectal endometriosis, we found a sensitivity of 66.7% for both techniques and specificity of 93.8% for SCSV and 95.8% for MRI.TVS should be used as the first-line diagnostic technique and SCSV and/or MRI as second-line methods in the diagnosis of posterior DPE.
机译：为了比较临床评估，经阴道超声检查（TVS），生理盐水超声检查（SCSV）和磁共振成像（MRI）在诊断后盆腔深部子宫内膜异位症（DPE）方面的诊断。评估进行了数字化阴道和直肠检查，TVS，SCSV和MRI。进行腹腔镜检查并将标本送去进行组织学检查。分析每种诊断方法的敏感性，特异性，阳性和阴性预测值以及阳性和阴性似然比。在102名怀疑患有DPE的女性中，有54名接受了腹腔镜手术。其中，在腹腔镜和组织学检查中证实有DPE 46例（占85.2％）。 SCSV正确识别了43个（93.5％）案例，比其他程序具有更高的准确性。 SCSV和MRI可更准确地诊断和区分子宫内膜异位病变的位置，阴道穹for的敏感性分别为94.7％和73.1％，子宫ac韧带的敏感性为88.9％和66.7％，直肠阴道中隔的敏感性为80.6％和83.3％。阴道穹ni的SCSV和MRI特异性分别为97.1％和94.3％，子宫ac韧带的特异性为95.6％和95.6％，直肠阴道中隔受累的特异性为100和77.8％。在直肠内膜异位症的诊断中，我们发现两种技术的敏感性为66.7％，SCSV的特异性为93.8％，MRI的特异性为95.8％。TVS应作为一线诊断技术，SCSV和/或MRI作为第二线诊断技术。行方法在后DPE的诊断中。

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