Research on Correlation between Ultrasound Images of Endometriosis and Clinical Symptoms of Patients_West China Medical Journal

Authors：

 ZHOUJiang-ying ¹ ,  YANGFan ²

1. Department of Ultrasonography, the First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan 610500, P. R. China;
2. Department of Ultrasonography, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YANGFan, Email: jessica_cd@163.com

Keywords：

Adenomyosis; Ultrasound images; Clinical symptoms; Correlation study

DOI：

10.7507/1002-0179.20150361

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the relation between ultrasound images of endometriosis and its clinical symptoms. Methods Choosing clinical data of 300 patients with endometriosis pathologically diagnosed between January 2009 and January 2014, we retrospectively analyzed ultrasound images and clinical symptoms, using Chisquare test for statistical analysis, and the index P<0.05 was statistically significant. Results In patients with big endometriosis' nidus, the menstrual quantity increased, menstrual cycle prolonged, the incidence of abnormally vaginal bleeding was high (χ²=11.749, P=0.001; χ²=4.847, P=0.028; χ²=5.686, P=0.017). In patients whose endometriosis were located in posterior uterine wall, the menstrual quantity increased, and the incidence of abnormally vaginal bleeding was high (χ²=5.188, P=0.023; χ²=49.691, P<0.001). The size of endometriosis' nidus had nothing to do with dysmenorrhea, constipation and frequent micturition (P>0.05). The position of endometriosis' nidus had nothing to do with menostaxis, dysmenorrhea, constipation and frequent micturition (P>0.05). Conclusion The size of endometriosis' nidus has a connection with the clinical symptoms of menorrhea, menostaxis and abnormally vaginal bleeding; the position of endometriosis' nidus has a connection with the clinical symptoms of menorrhea and abnormally vaginal bleeding. The results of ultrasonography should be combined with clinical symptoms in diagnosing endometriosis, avoiding missed-diagnosis and misdiagnosis.

Citation： ZHOUJiang-ying, YANGFan. Research on Correlation between Ultrasound Images of Endometriosis and Clinical Symptoms of Patients. West China Medical Journal, 2015, 30(7): 1260-1263. doi: 10.7507/1002-0179.20150361 Copy

1.	Bazot M, Darai E, Hourani R, et al. Deep pelvic endometriosis:Mr imaging for diagnosis and prediction of extension of disease[J]. Radiology, 2004, 232(2):379-389.
2.	乐杰. 妇产科学[M]. 6版. 北京:人民卫生出版社, 2004:354-362.
3.	González-Ramos R, Rocco J, Rojas C, et al. Physiologic activation of nuclear factor kappa-B in the endometrium during the menstrual cycle is altered in endometriosis patients[J]. Fertil Steril, 2012, 97(3):645-651.
4.	姜璇, 金力. 子宫腺肌症的临床表现及诊断[J]. 中国社区医师, 2012, 3(12):5.
5.	郎景和. 子宫内膜异位症的基础与临床研究:第一卷[M]. 北京:中国协和医科大学出版社, 2003:35-50.
6.	何立红, 何淑明. 彩色多普勒超声对子宫腺肌病的诊断价值[J]. 实用临床医学, 2006, 7(4):113-115.
7.	郑丽萍, 郑述春, 于惠明. 216例子宫腺肌病发病相关因素的探讨[J]. 吉林医学, 2002, 23(4):236.
8.	丰有吉, 沈坚, 马丁. 妇产科学[M]. 北京:人民卫生出版社, 2002:365-366.
9.	吴效普, 张勇, 赵海英. 子宫腺肌病灶细胞对米非司酮作用的敏感性实验研究[J]. 菏泽医学专科学校学报, 2005, 17(2):1-3.
10.	孙良, 赵明珠. 腹壁切口下子宫内膜异位症超声诊断价值[J]. 实用医技杂志, 2011, 18(11):1159-1160.
11.	Ying TH, Tseng CJ, Tsai SJ, et al. Assiociation of p53 and CD-KN1A genotypes with endometriosis[J]. Anticancer Res, 2011, 31(12):4301-4306.
12.	朱梅, 张必信, 李景, 等. 经阴道超声对子宫腺肌病与子宫肌瘤的鉴别诊断价值[J]. 中国超声诊断杂志, 2004, 5(3):190-192.
13.	黄杰灵, 熊伟立, 邓立维, 等. MRI在子宫腺肌症的诊断价值[J]. 中国CT和MRI杂志, 2015, 13(3):67-70.
14.	彭小新, 黄志欣, 王春平, 等. 阴道超声和腹部超声诊断子宫腺肌病的比较研究[J]. 河北医学, 2006, 12(2):113-114.
15.	Bazot M, Daraï E, Rouger J, et al. Limitations of transvaginal sonography for the diagnosis of adenomyosis, with histopathological correlation[J]. Ultrasound Obstet Gynecol, 2002, 20(6):605-611.
16.	鲁红. 妇科超声诊断与鉴别诊断[M]. 北京:人民军医出版社, 2012:82.

1. Bazot M, Darai E, Hourani R, et al. Deep pelvic endometriosis:Mr imaging for diagnosis and prediction of extension of disease[J]. Radiology, 2004, 232(2):379-389.
2. 乐杰. 妇产科学[M]. 6版. 北京:人民卫生出版社, 2004:354-362.
3. González-Ramos R, Rocco J, Rojas C, et al. Physiologic activation of nuclear factor kappa-B in the endometrium during the menstrual cycle is altered in endometriosis patients[J]. Fertil Steril, 2012, 97(3):645-651.
4. 姜璇, 金力. 子宫腺肌症的临床表现及诊断[J]. 中国社区医师, 2012, 3(12):5.
5. 郎景和. 子宫内膜异位症的基础与临床研究:第一卷[M]. 北京:中国协和医科大学出版社, 2003:35-50.
6. 何立红, 何淑明. 彩色多普勒超声对子宫腺肌病的诊断价值[J]. 实用临床医学, 2006, 7(4):113-115.
7. 郑丽萍, 郑述春, 于惠明. 216例子宫腺肌病发病相关因素的探讨[J]. 吉林医学, 2002, 23(4):236.
8. 丰有吉, 沈坚, 马丁. 妇产科学[M]. 北京:人民卫生出版社, 2002:365-366.
9. 吴效普, 张勇, 赵海英. 子宫腺肌病灶细胞对米非司酮作用的敏感性实验研究[J]. 菏泽医学专科学校学报, 2005, 17(2):1-3.
10. 孙良, 赵明珠. 腹壁切口下子宫内膜异位症超声诊断价值[J]. 实用医技杂志, 2011, 18(11):1159-1160.
11. Ying TH, Tseng CJ, Tsai SJ, et al. Assiociation of p53 and CD-KN1A genotypes with endometriosis[J]. Anticancer Res, 2011, 31(12):4301-4306.
12. 朱梅, 张必信, 李景, 等. 经阴道超声对子宫腺肌病与子宫肌瘤的鉴别诊断价值[J]. 中国超声诊断杂志, 2004, 5(3):190-192.
13. 黄杰灵, 熊伟立, 邓立维, 等. MRI在子宫腺肌症的诊断价值[J]. 中国CT和MRI杂志, 2015, 13(3):67-70.
14. 彭小新, 黄志欣, 王春平, 等. 阴道超声和腹部超声诊断子宫腺肌病的比较研究[J]. 河北医学, 2006, 12(2):113-114.
15. Bazot M, Daraï E, Rouger J, et al. Limitations of transvaginal sonography for the diagnosis of adenomyosis, with histopathological correlation[J]. Ultrasound Obstet Gynecol, 2002, 20(6):605-611.
16. 鲁红. 妇科超声诊断与鉴别诊断[M]. 北京:人民军医出版社, 2012:82.

West China Medical Journal

Research on Correlation between Ultrasound Images of Endometriosis and Clinical Symptoms of Patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content