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首页> 外文期刊>Best practice & research:Clinical obstetrics & gynaecology >Other imaging techniques: Double-contrast barium enema, endoscopic ultrasonography, multidetector CT enema, and computed tomography colonoscopy
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Other imaging techniques: Double-contrast barium enema, endoscopic ultrasonography, multidetector CT enema, and computed tomography colonoscopy

机译：其他成像技术：双对比钡灌肠，内窥镜超声，多校制CT灌肠和计算机层析镜检查

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Double-contrast barium enema (DCBE), transrectal endoscopic ultrasonography (REU), multidetector computerized tomography enema (MDCT-e), and computed tomography colonoscopy (CTC) have been successfully used for the diagnosis of bowel endometriosis. DCBE provides a complete overview of the entire colon and allows detecting cecal nodules. The accuracy of DCBE is operator dependent and, thus, it may have low specificity. It does not allow identifying the cause of the mass effect. DCBE requires the administration of barium and exposure to radiation. REU precisely estimates the distance between the rectosigmoid nodule and the anal verge. However, it allows investigating only the distal part of rectosigmoid, it misses anterior pelvic lesions, and it has poor sensitivity for the diagnosis of endometriomas. MDCT-e is accurate and reproducible in diagnosing intestinal endometriosis and in assessing its characteristics: the largest diameter of the nodule, the distance between the distal part of the nodule and the anal verge, and depth of infiltration of endometriosis in the intestinal wall. MDCT-e requires the administration of iodinated contrast medium (CM) and the exposure to radiations. CTC has good performance in the diagnosis of rectosigmoid endometriosis. It allows estimating the degree of intestinal stenosis CTC, and the distance between the intestinal endometriotic nodule and the anal verge. It requires exposure to radiations, and it may require the administration of an iodinated CM.
机译：双对比剂钡灌肠（DCBE）、经直肠内镜超声检查（REU）、多探测器计算机断层扫描灌肠（MDCT-e）和计算机断层扫描结肠镜检查（CTC）已成功用于诊断肠道子宫内膜异位症。DCBE提供了整个结肠的完整概览，并允许检测盲肠结节。DCBE的准确性取决于操作者，因此，它可能具有较低的特异性。它不允许识别质量效应的原因。DCBE需要施用钡剂并暴露于辐射中。REU精确估计了直肠乙状结肠结节与肛门边缘之间的距离。然而，它只允许检查直肠乙状结肠的远端，忽略了骨盆前部病变，对子宫内膜瘤的诊断敏感性较差。MDCT-e在诊断肠道子宫内膜异位症和评估其特征方面是准确且可重复的：结节的最大直径、结节远端与肛门边缘之间的距离，以及肠壁中子宫内膜异位症的浸润深度。MDCT-e需要使用碘化造影剂（CM）并暴露于辐射中。CTC在直肠乙状结肠子宫内膜异位症的诊断中有良好的表现。它可以估计肠狭窄的程度，以及肠内膜异位结节与肛门边缘之间的距离。它需要暴露在辐射中，并且可能需要服用碘化CM。

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