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目的探讨超声内镜联合经阴道超声检查对子宫内膜异位症的诊断价值。方法回顾性分析6例直肠子宫内膜异位患者的临床资料及超声检查结果。结果 6例患者平均年龄35.5岁,病变大小2.0~3.5 cm,距离肛门口约4~10cm,肠镜下表现直肠隆起性改变,表面光滑。超声内镜表现为固有肌层低回声影,部分可突破外膜,累及子宫。经阴道超声可探及4例病变位于直肠壁内,2例部分延续至子宫,子宫亦可见低回声影,界限不清。结论直肠子宫内膜异位普通肠镜下表现为直肠隆起性病变,超声内镜检查及经阴道超声检查有助于鉴别诊断,并为术前提供更多信息与指导。
Objective To investigate the diagnostic value of endoscopic ultrasonography combined with transvaginal sonography in endometriosis. Methods Retrospective analysis of 6 cases of rectal endometriosis patients with clinical data and ultrasound findings. Results The average age of the 6 patients was 35.5 years old, the size of the lesion was 2.0-3.5 cm, and the distance from the anus was about 4 ~ 10 cm. The bowel mirror showed the colon uplift and smooth surface. Ultrasound endoscopic performance of the muscular hypoechoic shadow, some can break the outer membrane, involving the uterus. Transvaginal ultrasound can detect and 4 lesions located in the rectal wall, 2 cases continued to the uterus, the uterus can be seen hypoechoic, unclear boundaries. Conclusions Rectal endometriosis can be diagnosed by colonoscopy in general colonoscopy. Ultrasound endoscopy and transvaginal ultrasonography can be helpful for differential diagnosis and provide more information and guidance for preoperative rectal endometriosis.