现代影像学检查在深部浸润型子宫内膜异位症中的诊断价值

摘要

Objective:To evaluate the accuracy and value of physical examination,TVS,EUS and MRI for the assessment of DIE in different locations.Method:123 DIE patients confirmed by surgery in our hospital from June 2010 to June 2014 were selected as the research objects.They all underwent physical examination, TVS,EUS and MRI respectively before operation.With surgery and histology being the final diagnosis standard, the sensitivity,specificity,accuracy and likelihood ratio of the four examinations were evaluated.Result:The diagnostic accuracy of physical examination,TVS,EUS and MRI were 91.87%,34.15%,65.85% and 86.99%respectively.The sensitivity and specificity of different examinations for DIE in different parts were different. Conclusion: Careful physical examination combined with appropriate imaging examinations can help to the correct diagnose of DIE.According to the different locations of DIE,different or combined imaging methods can be applied.%目的：评价妇科检查、经阴道彩超（TVS）、直肠超声内镜（EUS）及核磁共振成像（MRI）四种检查方法诊断深部浸润型子宫内膜异位症（DIE）不同部位的准确性及应用价值。方法：选择2010年6月-2014年6月就诊于本院经手术确诊为DIE的患者123例作为研究对象。所有患者术前均完成妇检、TVS、EUS及MRI检查，以术中探查情况及术后病理结果为标准，评估4项检查诊断的敏感性、特异性、准确性及似然比。结果：妇检、TVS、EUS及MRI诊断DIE的准确性分别为91.87%、34.15%、65.85%、86.99%，各项检查对不同部位DIE的敏感性及特异性均不同。结论：仔细的妇科检查联合适合的影像学检查可以有助于正确诊断DIE，应根据不同的DIE病变部位选择不同的或联合的影像学方法。