Visual and histologic analysis of laparoscopic diagnosis of endometriosis

冷金花, 郎景和, 赵学英, 李华军, 郭丽娜, 崔全才
In: Chin J Obstet Gynecol · 2006 · vol. 41(02) , pp. 111–113 · doi:10.3760/j.issn:0529-567x.2006.02.011 · W3030290491
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This study analyzed laparoscopic endometriosis findings against pathology, finding asymmetry in lesion distribution and higher diagnostic accuracy for blue lesions and those on the left uterosacral ligament.

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This study evaluated the distribution patterns of pelvic endometriosis lesions and assessed the accuracy of laparoscopic diagnosis compared to histological confirmation in 62 patients. Researchers analyzed 219 peritoneal lesions, noting that posterior pelvic involvement was predominant and left-sided lesions were more frequent than right-sided ones, with blue-colored lesions being the most common visual presentation. The results indicated high sensitivity for laparoscopy but lower specificity, particularly for normal-appearing peritoneum which showed a significant rate of hidden pathology upon biopsy. This paper is centrally about endometriosis — specifically focusing on the visual characteristics, anatomical distribution, and diagnostic reliability of laparoscopic identification of endometriotic lesions.

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Abstract

目的 探讨盆腔子宫内膜异位症 (内异症)病灶的分布特点以及腹腔镜用于诊断不同部位﹑不同类型内异症病灶的准确率及其与病理诊断的符合率.方法对62例腹腔镜诊断的内异症病灶行切除术,对肉眼正常的腹膜随机进行活检,并均送病理检查.以病理诊断为标准,计算腹腔镜诊断不同类型﹑不同部位以及不同颜色内异症病灶的阳性预测值、阴性预测值及敏感度、特异度.结果 62例患者中,55例有卵巢子宫内膜异位囊肿.取得219份内异症腹膜病灶组织、54份肉眼正常腹膜组织以及71个卵巢子宫内膜异位囊肿;盆腔后半部腹膜内异症病灶占80.8 %(177/219),左侧(58.0%,127/219)多于右侧(42.0%,92/219).盆腔腹膜内异症病灶中蓝色病灶最常见,占39.3%(86/219).腹腔镜诊断腹膜内异症与病理诊断比较,阳性预测值为67.6%,敏感度为93.7%,阴性预测值为81.4%,特异度为38.3%.其中以蓝色病灶和左侧宫骶韧带处病灶的病理诊断阳性率最高,分别为94.2%及84.7%.卵巢子宫内膜异位囊肿中,左侧占43.6%(24/55),右侧占27.3%(15/55),双侧占29.1%(16/55),其中80.3% (57/71 )的卵巢子宫内膜异位囊肿被病理诊断证实.肉眼正常腹膜活检54份标本中,10例(18.5%)病理检查阳性.结论盆腔内异症病灶的分布呈非对称性,盆腔后部多于前部,左侧多于右侧;腹腔镜下所见的蓝色病灶及宫骶韧带病灶的病理诊断阳性率较高。
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盆腔子宫内膜异位症病灶分布特点及其腹腔镜诊断准确性的评价 Visual and histologic analysis of laparoscopic diagnosis of endometriosis 摘要目的探讨盆腔子宫内膜异位症 (内异症)病灶的分布特点以及腹腔镜用于诊断不同部位﹑不同类型内异症病灶的准确率及其与病理诊断的符合率.方法对62例腹腔镜诊断的内异症病灶行切除术,对肉眼正常的腹膜随机进行活检,并均送病理检查.以病理诊断为标准,计算腹腔镜诊断不同类型﹑不同部位以及不同颜色内异症病灶的阳性预测值、阴性预测值及敏感度、特异度.结果 62例患者中,55例有卵巢子宫内膜异位囊肿.取得219份内异症腹膜病灶组织、54份肉眼正常腹膜组织以及71个卵巢子宫内膜异位囊肿;盆腔后半部腹膜内异症病灶占80.8 %(177/219),左侧(58.0%,127/219)多于右侧(42.0%,92/219).盆腔腹膜内异症病灶中蓝色病灶最常见,占39.3%(86/219).腹腔镜诊断腹膜内异症与病理诊断比较,阳性预测值为67.6%,敏感度为93.7%,阴性预测值为81.4%,特异度为38.3%.其中以蓝色病灶和左侧宫骶韧带处病灶的病理诊断阳性率最高,分别为94.2%及84.7%.卵巢子宫内膜异位囊肿中,左侧占43.6%(24/55),右侧占27.3%(15/55),双侧占29.1%(16/55),其中80.3% (57/71 )的卵巢子宫内膜异位囊肿被病理诊断证实.肉眼正常腹膜活检54份标本中,10例(18.5%)病理检查阳性.结论盆腔内异症病灶的分布呈非对称性,盆腔后部多于前部,左侧多于右侧;腹腔镜下所见的蓝色病灶及宫骶韧带病灶的病理诊断阳性率较高. 更多相关知识 - 浏览561 - 被引138 - 下载386 相似文献 - 中文期刊 - 外文期刊 - 学位论文 - 会议论文

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