Transvaginal echography in the diagnosis of localization foci of deep infiltrative endometriosis

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Abstract

The goal is to assess the sensitivity and specificity of transvaginal ultrasound (USI) in the diagnosis of localization of foci of deep infiltrative endometriosis. Materials and methods. The study included 142 patients with deep infiltrative endometriosis, who underwent surgery in the surgical department of the V.I.Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of Russian Federation in the period 2014-2016. Criteria for inclusion in the study: informed agreement of the patient, the reproductive age (from 18 to 44 years), deep infiltrative endometriosis with a confirmed histological conclusion. Exclusion criteria were malignant tumors of the pelvis and abdomen, refusal to undergo surgical treatment of deep infiltrative endometriosis, and malformations of the urogenital system. Results. Transvaginal echography in identifying the localization of foci of deep infiltrative endometriosis is highly sensitive in the diagnosis of colorectal endometriosis (88.9%) and endometriosis of the bladder (96%) with a relatively low specificity of the study (35%). The sizes of endometrial infiltrates of the intestine, retrocervical endometriosis, and bladder intraoperatively were large in comparison with the data obtained with transvaginal ultrasound. When assessing the accuracy of the diagnostic method, it was found that transvaginal ultrasound evaluates retrocervical endometriosis with an accuracy of 41.5%, endometriosis of the intestine - 37.7%, bladder - 54.8%. Conclusion. Transvaginal echography, based on a quantitative assessment of the characteristic curve by calculating the area under it, the size of the infiltrate and their localization, showed that our study have middle diagnostic quality and visualization of DIE lesions with enough specify.

About the authors

Danesh Sh Said

I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation

аспирант каф. акушерства, гинекологии, перинатологии и репродуктологии ИПО 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2

V D Chuprynin

V.I.Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of the Russian Federation

Email: v_chuprynin@oparina4.ru
канд. мед. наук, зав. хирургическим отд-нием 117997, Russian Federation, Moscow, ul. Akademika Oparina, d. 4

A I Gus

V.I.Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of the Russian Federation

зав. отд-нием функциональной и визуальной диагностики 117997, Russian Federation, Moscow, ul. Akademika Oparina, d. 4

S S Lunkov

V.I.Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of the Russian Federation

Email: l_lunkov@oparina4.ru
врач функциональной диагностики отд-ния визуальной диагностики 117997, Russian Federation, Moscow, ul. Akademika Oparina, d. 4

M V Melnikov

V.I.Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of the Russian Federation

Email: m_melnikov@oparina4.ru
зав. по клинической работе хирургического отд-ния 117997, Russian Federation, Moscow, ul. Akademika Oparina, d. 4

A V Asaturova

V.I.Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of the Russian Federation

Email: a_asaturova@oparina4.ru
канд. мед. наук, ст. науч. сотр. отд-ния патологической анатомии 117997, Russian Federation, Moscow, ul. Akademika Oparina, d. 4

N A Buralkina

V.I.Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of the Ministry of Health of the Russian Federation

Email: natalyaburalkina@yandex.ru
д-р мед. наук, ст. науч. сотр. хирургического отд-ния 117997, Russian Federation, Moscow, ul. Akademika Oparina, d. 4

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