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

作　　者：孙燕茹[1] 韩璐[1] 于晓辉[1] 邓燕杰[1] 王亚萍[2] 赵艳[1] 

机构地区：[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

出　　处：《现代妇产科进展》2017年第4期262-265,共4页Progress in Obstetrics and Gynecology

摘　　要：目的:探讨腹膜型子宫内膜异位症在腹腔镜窄带成像技术下(NBI)的形态学特征。方法:选取2014年7月至2015年12月因盆腔包块或不明原因不孕或痛经于大连医科大学附属妇产医院行腹腔镜检查和(或)手术治疗的75例患者,分别于腹腔镜普通白光和白光联合NBI模式下观察不同类型腹膜型内异症病灶的形态学特征,比较两种模式下诊断不同形态病变与病理组织学诊断的一致性。结果:不同类型腹膜型内异症病灶在普通白光和白光联合NBI模式下有不同的形态学特征;白光+NBI下诊断腹膜型内异症与病理组织学诊断的Kappa值为0.8,有较好的一致性;白光+NBI下诊断红色病变、棕色病变、白色病变、混合型病变与病理组织学诊断的Kappa值分别为0.67,0.88、0.78,0.65,较白光下诊断有明显优势。结论:腹腔镜NBI可提高腹膜型内异症病灶形态的识别,有助于明确诊断并确定内异症病灶范围,指导术中更大可能地切净病灶。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 

分 类 号：R711[医药卫生—妇产科学]