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：

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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

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9.	吳效普, 張勇, 趙海英. 子宮腺肌病灶細胞對米非司酮作用的敏感性實驗研究[J]. 菏澤醫學專科學校學報, 2005, 17(2):1-3.
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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, 張必信, 李景, 等. 經陰道超聲對子宮腺肌病與子宮肌瘤的鑒別診斷價值[J]. 中國超聲診斷雜志, 2004, 5(3):190-192.
13.	黃杰靈, 熊偉立, 鄧立維, 等. MRI在子宮腺肌癥的診斷價值[J]. 中國CT和MRI雜志, 2015, 13(3):67-70.
14.	彭小新, 黃志欣, 王春平, 等. 陰道超聲和腹部超聲診斷子宮腺肌病的比較研究[J]. 河北醫學, 2006, 12(2):113-114.
15.	Bazot M, Dara? 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.	魯紅. 婦科超聲診斷與鑒別診斷[M]. 北京:人民軍醫出版社, 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. 樂杰. 婦產科學[M]. 6版. 北京:人民衛生出版社, 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. 子宮腺肌癥的臨床表現及診斷[J]. 中國社區醫師, 2012, 3(12):5.
5. 郎景和. 子宮內膜異位癥的基礎與臨床研究:第一卷[M]. 北京:中國協和醫科大學出版社, 2003:35-50.
6. 何立紅, 何淑明. 彩色多普勒超聲對子宮腺肌病的診斷價值[J]. 實用臨床醫學, 2006, 7(4):113-115.
7. 鄭麗萍, 鄭述春, 于惠明. 216例子宮腺肌病發病相關因素的探討[J]. 吉林醫學, 2002, 23(4):236.
8. 豐有吉, 沈堅, 馬丁. 婦產科學[M]. 北京:人民衛生出版社, 2002:365-366.
9. 吳效普, 張勇, 趙海英. 子宮腺肌病灶細胞對米非司酮作用的敏感性實驗研究[J]. 菏澤醫學專科學校學報, 2005, 17(2):1-3.
10. 孫良, 趙明珠. 腹壁切口下子宮內膜異位癥超聲診斷價值[J]. 實用醫技雜志, 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, 張必信, 李景, 等. 經陰道超聲對子宮腺肌病與子宮肌瘤的鑒別診斷價值[J]. 中國超聲診斷雜志, 2004, 5(3):190-192.
13. 黃杰靈, 熊偉立, 鄧立維, 等. MRI在子宮腺肌癥的診斷價值[J]. 中國CT和MRI雜志, 2015, 13(3):67-70.
14. 彭小新, 黃志欣, 王春平, 等. 陰道超聲和腹部超聲診斷子宮腺肌病的比較研究[J]. 河北醫學, 2006, 12(2):113-114.
15. Bazot M, Dara? 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. 魯紅. 婦科超聲診斷與鑒別診斷[M]. 北京:人民軍醫出版社, 2012:82.

West China Medical Journal

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

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