Accuracy of transvaginal and transrectal ultrasounds in the diagnosis of endometriosis: A retrospective cohort study
عنوان مقاله: Accuracy of transvaginal and transrectal ultrasounds in the diagnosis of endometriosis: A retrospective cohort study
شناسه ملی مقاله: JR_IJRM-20-5_003
منتشر شده در در سال 1401
شناسه ملی مقاله: JR_IJRM-20-5_003
منتشر شده در در سال 1401
مشخصات نویسندگان مقاله:
Zahra Asgari - Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Reyhaneh Hosseini - Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Mahdi Sepidarkish - Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Azar Nabati - Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
خلاصه مقاله:
Zahra Asgari - Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Reyhaneh Hosseini - Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Mahdi Sepidarkish - Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Azar Nabati - Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Background: Early diagnosis and appropriate treatment of endometriosis are vital and may prevent subsequent complications.
Objective: To investigate the diagnostic accuracy of transvaginal ultrasound sonography (TVUS) and transrectal ultrasound sonography for detecting endometriosis considering the age and body mass index (BMI).
Materials and Methods: This was a retrospective cohort study of ۱۱۹ women scheduled for surgery in a tertiary health care center for clinically suspected endometriosis. Married and virgin women underwent TVUS and transrectal ultrasound sonography, respectively, before laparoscopic excision of endometriotic lesions.
Results: The accuracy of TVUS in the diagnosis of right endometrioma in women with a normal BMI was superior to that in women with a BMI ≥ ۳۰ (۹۵.۶% vs. ۷۵.۳%; p < ۰.۰۰۱). For the detection of left endometrioma in women with a normal BMI, TVUS demonstrated a sensitivity of ۹۶.۹% and a negative predictive value of ۹۲.۹%, which was significantly superior to TVUS in women with obesity (sensitivity: ۷۷.۴%, negative predictive value: ۵۸.۶%). The accuracy of TVUS in the diagnosis of left endometrioma in women under ۳۵ yr was superior to that in women older than ۳۵ yr (۹۳.۲% vs. ۷۷.۹%; p = ۰.۰۴). Similarly, the accuracy of TVUS in the diagnosis of right endometrioma in women under ۳۵ yr was superior to TVUS in women older than ۳۵ yr (۸۶.۵% vs. ۷۳.۳%; p = ۰.۰۴).
Conclusion: Ultrasound can be a useful technique for detecting endometriosis when used adjunctively with the patient’s history and physical findings, especially age and BMI.
کلمات کلیدی: Endometriosis, Ultrasonography, Diagnostic imaging, Body mass index., آندومتریوز, آندومتریوز عمیقا نفوذ کننده, سونوگرافی ترانس واژینال, سونوگرافی.
صفحه اختصاصی مقاله و دریافت فایل کامل: https://civilica.com/doc/1459703/