现代妇产科进展2017，Vol.26Issue(4)：262-265,4.DOI:10.13283/j.cnki.xdfckjz.2017.04.006
腹膜型子宫内膜异位症的腹腔镜窄带成像下的形态学特征分析
Morphology analysis of peritoneal endometriosis with laparoscopic narrow-band imaging
孙燕茹 1韩璐 1于晓辉 1邓燕杰 1王亚萍 2赵艳1
作者信息
- 1. 大连医科大学附属妇产医院暨大连市妇幼保健院 妇科 大连 116033
- 2. 大连医科大学附属妇产医院暨大连市妇幼保健院 病理科,大连 116033
- 折叠
摘要
Abstract
Objective:To evaluate the morphological characteristics of peritoneal endometriosis with laparoscopic narrow band imaging (NBI).Methods:This prospective study was performed at the Dalian Obstetrics and Gynecology Hospital,affiliated hospital of Dalian Medical University from Jul.2014 to Dec.2015,75 women undergoing laparoscopic evaluation for suspected endometriosis and/or unkown reason infertility or dysmenorrhea were recruited in our prospectie study,respectively under laparoscopic ordinary white light(WL) and white light joint NBI mode(WL+NBI).To observe the morphological features of different types of peritoneal endometriosis;to remove peritoneal suspicious lesions and normal peritoneum tissue;to examine by histopathological examination;to compare the consistency of two modes in the diagnosis of different lesions and histologic diagnosis.Results:Different types of peritoneal endometriosis lesions under laparoscopic WL and WL+NBI have different morphological features.There was high concordance rate between the diagnose of peritoneal endometriosis lesions under the WL+ NBI and pathological histology (Kappa value=0.8).The concordance rate between the diagnose of red lesions,brown lesions,white lesions,mixed lesions under the WL+NBI and histologic diagnosis was higher than under the WL.The Kappa value were 0.67,0.88,0.78,0.65 respectively.Conclusion:Laparoscopic under WL +NBI can identify more lesions by identifying the shape of lesions,diagnosis and determine the scope of the lesions in order to eliminate lesions as far as possible.关键词
腹膜型子宫内膜异位症/窄带成像技术/形态学特征Key words
Peritoneal endometriosis/Narrow-band imaging technology/Morphological features分类
医药卫生引用本文复制引用
孙燕茹,韩璐,于晓辉,邓燕杰,王亚萍,赵艳..腹膜型子宫内膜异位症的腹腔镜窄带成像下的形态学特征分析[J].现代妇产科进展,2017,26(4):262-265,4.
