盆腔深部子宫内膜异位症的超声评价

doi:10.6040/j.issn.1671-7554.0.2024.0930

摘要/Abstract

摘要： 盆腔深部子宫内膜异位症(deep endometriosis, DE)是一种子宫内膜组织生长在子宫以外的盆腔深部组织中的疾病,浸润深度≥5 mm。随着成像技术进步,盆腔DE的超声检查越来越受到重视,经阴道超声(transvaginal ultrasound, TVS)在诊断盆腔DE中起着重要作用,不同部位的DE有其相应的特征性声像图表现,有些病灶超声表现复杂、多变。本文从后腔室及前腔室好发部位DE的超声特征、扫查要点及新进展、新评价方法等方面进行阐述。

关键词: 盆腔深部, 子宫内膜异位症, 经阴道超声, 超声评价, 后腔室, 前腔室

Abstract: Deep pelvic endometriosis(DE)is a disease in which endometrial tissue grows in the deep pelvic tissues outside the uterus, infiltrating to a depth of ≥5 mm. With the advancement of imaging technology, ultrasonography of DE is getting increasing attention, and transvaginal ultrasound(TVS)plays an important role in the diagnosis of DE. Different sites of DE have their corresponding characteristic ultrasonographic findings, and some lesions have complex and variable ultrasonographic findings. This article elaborates on the ultrasonic characteristics of DE in the posterior and anterior compartments, key points of scanning, new developments and evaluation methods.

Key words: Pelvic deep endometriosis, Transvaginal ultrasound, Ultrasound evaluation, Posterior compartment, Anterior compartment

中图分类号:

R711.71

董向毅,刘昕,刘欣欣,徐亚瑄,赵琳丽,陶国伟. 盆腔深部子宫内膜异位症的超声评价[J]. 山东大学学报 (医学版), 2025, 63(10): 34-42.

DONG Xiangyi, LIU Xin, LIU Xinxin, XU Yaxuan, ZHAO Linli, TAO Guowei. Ultrasound evaluation of pelvic deep endometriosis[J]. Journal of Shandong University (Health Sciences), 2025, 63(10): 34-42.

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