Transvaginal ultrasonography combined with water-contrast in the rectum in the diagnosis of rectovaginal endometriosis infiltrating the bowel

被引：49

作者：

Menada, Mario Valenzano ^{[1
]}

Remorgida, Valentino ^{[1
]}

Abbamonte, Luiza Helena ^{[1
]}

Fulcheri, Ezio ^{[2
]}

Ragni, Nicola ^{[1
]}

Ferrero, Simone ^{[1
]}

机构：

[1] Univ Genoa, San Martino Hosp, Dept Obstet & Gynaecol, I-16132 Genoa, Italy

[2] San Martino Hosp, Unit Anat & Histopathol, DiCMI, Genoa, Italy

来源：

FERTILITY AND STERILITY | 2008年 / 89卷 / 03期

关键词：

diagnosis; laparoscopy; rectal endometriosis; transvaginal ultrasonography;

D O I：

10.1016/j.fertnstert.2007.07.1336

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

This prospective study evaluated the efficacy of transvaginal ultrasonography combined with water-contrast in the rectum (RWC-TVS) in the diagnosis of rectal infiltration in 35 women with rectovaginal endometriosis; ultrasonographic findings were compared with surgery and histology. The sensitivity of RWC-TVS in identifying rectal infiltration reaching at least the muscular layer was 100%, the specificity was 85.7%, the positive predictive value was 91.3%, and the negative predictive value was 100%. In 4 of 5 (80.0%) nodules reaching the submucosa, the depth of infiltration was underestimated by RWC-TVS. The RWC-TVS reliably determined the largest diameter of the endometriotic nodules and was well tolerated by the patients.

引用

页码：699 / 700

页数：2

共 4 条

[1] Transvaginal sonography and rectal endoscopic sonography for the assessment of pelvic endometriosis:: a preliminary comparison [J].

Bazot, M ;

Detchev, R ;

Cortez, A ;

Amouyal, P ;

Uzan, S ;

Daraï, E .

HUMAN REPRODUCTION, 2003, 18 (08) :1686-1692

[2] Accuracy of magnetic resonance imaging and rectal endoscopic sonography for the prediction of location of deep pelvic endometriosis [J].

Bazot, Marc ;

Bornier, Carole ;

Dubernard, Gil ;

Roseau, Gilles ;

Cortez, Annie ;

Darai, Emile .

HUMAN REPRODUCTION, 2007, 22 (05) :1457-1463

[3] Multislice CT enteroclysis in the diagnosis of bowel endometriosis [J].

Biscaldi, Ennio ;

Ferrero, Simone ;

Fulcheri, Ezio ;

Ragni, Nicola ;

Remorgida, Valentino ;

Rollandi, Gian Andrea .

EUROPEAN RADIOLOGY, 2007, 17 (01) :211-219

[4] Bowel endometriosis: Presentation, diagnosis, and treatment [J].

Remorgida, Valentino ;

Ferrero, Simone ;

Fulcheri, Ezio ;

Ragni, Nicola ;

Martin, Dan C. .

OBSTETRICAL & GYNECOLOGICAL SURVEY, 2007, 62 (07) :461-470

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