深度子宫内膜异位症的临床和超声波特征影响神经
G Szabó1, A Bokor1, V Fancsovits1
1Department of Obstetrics and Gynaecology, Faculty of Medicine, Semmelweis University, Budapest, Hungary.
概括
深层子宫内膜异位症 (DE) 影响神经 (SP) 呈现为固体,不均的结节,有不规则的,尖的轮和通过阴道超声波 (TVS) 的内部阴影. 这些发现,加上不良的血管化,表明SP的DE透.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 妇科 妇科医生 妇科
背景情况:
- 深层子宫内膜异位症 (DE) 是一种使人虚弱的疾病,影响生育年龄的女性.
- 受DE影响的圣脉 (SP) 可能导致显著的神经缺陷和慢性疼痛.
- 准确的诊断成像对于影响SP的DE的有效管理至关重要.
研究的目的:
- 描述深层子宫内膜异位症 (DE) 的声形特征,影响神经 (SP).
- 为了将超声波发现与临床症状和涉及SP的DE组织学确认相关联.
主要方法:
- 具有组织学确认的SP的DE的症状患者的回顾性分析.
- 在2019年至2023年期间进行的手术前的经阴道超声波扫描 (TVS).
- 损伤描述基于国际深层子宫内膜异位症分析 (IDEA),国际卵巢瘤分析 (IOTA) 和形态子宫声学评估 (MUSA) 标准.
主要成果:
- 确定了27名DE透到SP的患者.
- 常见的神经症状包括下肢失眠,麻醉,慢性盆腔疼痛,骨疼痛和运动软弱.
- 在多普勒检测中,DE病变是固体的,不均的,具有高高的区域,不规则的尖轮,内部影子和较差的血管化.
结论:
- 通过阴道的超声波 (TVS) 可以识别深层子宫内膜异位症 (DE) 的特征性超声波特征,这些特征会影响神经 (SP).
- 超声波的关键发现包括单边的,固体的,不均的结节,有不规则的,尖的轮,高性区域,内部阴影,以及不良的血管化.
- 这些发现,在神圣根源病症症状的背景下,强烈暗示了神圣根源病的DE参与.
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