Evaluation of Uterosacral Ligament Involvement in Deep Endometriosis by Transvaginal Ultrasonography

Zhang, Yujuan1,2; Xiao, Xiaojun1,2; Xu, Fanhua1,2; Lin, Qi1,2; Xu, Jinfeng1,2; Du, Bo3

2019-04-11

10.3389/fphar.2019.00374

Frontiers in Pharmacology   影响因子和分区

1663-9812

This study was designed to conclude the ultrasonic characteristics of uterosacral ligament (USL) lesions involved by endometriosis and evaluated the value of transvaginal sonography (TVS) in diagnosing USL involvement in deep infiltrating endometriosis (DIE). A total of one hundred and eighteen patients with DIE were included in the study and underwent surgery. All these patients were evaluated by transvaginal ultrasound examination by one trained examiner. The gold standard for diagnosis was surgery and histopathology. 85 patients with USL endometriosis were confirmed by surgical pathology. 84 patients were diagnosed USL endometriosis by TVS and 81 of which were confirmed by the gold standard. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of TVS for diagnosing USL endometriosis were 95.3, 90.9, 96.4, 88.2, and 94.1%, respectively. According to the ultrasound characteristics of USL endometriosis, we summarized four types: Type I. thickened and stiff lesions, Type II. local nodules, Type III. irregular striped lesions, and Type IV. mixed lesions. The conclusion of the study was that TVS was a convenient, accurate and first-line diagnostic technique for USL endometriosis and the USL lesions could be summarized into four types according to the ultrasound morphological changes.

uterosacral ligament transvaginal sonography endometriosis deep infiltrating endometriosis (DIE) diagnosis

SCI

英语

第一 ; 通讯

Guangdong Medical Science and Technology Research Fund Project[A2016545]

Pharmacology & Pharmacy

Pharmacology & Pharmacy

WOS:000464395700001

FRONTIERS MEDIA SA

Web of Science

1.Southern Univ Sci & Technol, Affiliated Hosp 1, Jinan Univ, Dept Ultrasound,Shenzhen Peoples Hosp,Clin Med 2, Shenzhen, Peoples R China
2.Shenzhen Med Ultrasound Engn Ctr, Shenzhen, Peoples R China
3.Southern Univ Sci & Technol, Affiliated Hosp 1, Clin Med Coll 2, Dept Emergency,Shenzhen Peoples Hosp, Shenzhen, Peoples R China

Zhang, Yujuan,Xiao, Xiaojun,Xu, Fanhua,et al. Evaluation of Uterosacral Ligament Involvement in Deep Endometriosis by Transvaginal Ultrasonography[J]. Frontiers in Pharmacology,2019,10.

Zhang, Yujuan,Xiao, Xiaojun,Xu, Fanhua,Lin, Qi,Xu, Jinfeng,&Du, Bo.(2019).Evaluation of Uterosacral Ligament Involvement in Deep Endometriosis by Transvaginal Ultrasonography.Frontiers in Pharmacology,10.

Zhang, Yujuan,et al."Evaluation of Uterosacral Ligament Involvement in Deep Endometriosis by Transvaginal Ultrasonography".Frontiers in Pharmacology 10(2019).