New Sonographic Classification of Adenomyosis: Do Type and Degree of Adenomyosis Correlate to Severity of Symptoms?

子宫腺肌病 医学 不育 产科 放射科 妇科 怀孕 子宫内膜异位症 遗传学 生物
作者
C. Exacoustós,G. Morosetti,Francesca Conway,S. Camilli,Francesco Giuseppe Martire,Lucia Lazzeri,Emilio Piccione,Errico Zupi
出处
期刊:Journal of Minimally Invasive Gynecology [Elsevier]
卷期号:27 (6): 1308-1315 被引量:91
标识
DOI:10.1016/j.jmig.2019.09.788
摘要

ABSTRACT

Study Objective

To correlate the type and degree of adenomyosis, scored through a new system based on the features of transvaginal sonography, to patients' symptoms and fertility.

Design

This is a multicenter, observational, prospective study.

Setting

Two endometriosis tertiary referral centers (University of Rome "Tor Vergata" and University of Siena).

Patients

A total of 108 patients with ultrasonographic signs of adenomyosis.

Interventions

A new ultrasonographic scoring system designed to assess the severity and the extent of uterine adenomyosis was used to stage the disease in correlation with the clinical symptoms. Menstrual uterine bleeding was assessed by a pictorial blood loss analysis chart, painful symptoms were evaluated using a visual analog scale, and infertility factors were considered.

Measurements and Main Results

A total of 108 patients with ultrasonographic signs of adenomyosis (mean age ± standard deviation, 37.7 ± 7.7 years) were classified according to the proposed scoring system. Women with ultrasound diagnosis of diffuse adenomyosis were older (p = .04) and had heavier menstrual bleeding (p = .04) than women with focal disease; however, no statistically significant differences were found regarding the presence and severity of dyspareunia and dysmenorrhea. Higher values of menstrual bleeding were found for severe diffuse adenomyosis, with the highest values being found in those with adenomyomas. In patients trying to conceive, the presence of ultrasound findings of focal disease was associated with a higher percentage of infertility than in those with diffuse disease, and the focal involvement of the junctional zone showed a higher percentage of at least 1 miscarriage than in those with diffuse adenomyosis.

Conclusion

The ultrasonographic evaluation of the type and extension of adenomyosis in the myometrium seems to be important in correlation to the severity of symptoms and infertility.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
1秒前
1秒前
1秒前
JayeChen完成签到,获得积分10
2秒前
你们才来完成签到,获得积分10
2秒前
三笠完成签到,获得积分10
2秒前
他也蓝完成签到,获得积分10
3秒前
4秒前
4秒前
5秒前
5秒前
leyellows发布了新的文献求助10
7秒前
李爱国应助辣椒酱采纳,获得10
7秒前
孤檠发布了新的文献求助10
8秒前
8秒前
李度渊完成签到,获得积分10
9秒前
9秒前
HAI发布了新的文献求助10
10秒前
嘻嘻完成签到,获得积分10
10秒前
犹豫新梅完成签到,获得积分10
11秒前
hyx完成签到,获得积分10
11秒前
yeye发布了新的文献求助10
11秒前
11秒前
13秒前
13秒前
orixero应助踏实的书包采纳,获得10
13秒前
huaxuchina完成签到,获得积分10
13秒前
犹豫新梅发布了新的文献求助10
14秒前
wei完成签到,获得积分10
14秒前
neil发布了新的文献求助10
14秒前
拓跋幻枫完成签到,获得积分10
14秒前
15秒前
希望天下0贩的0应助jby采纳,获得10
15秒前
yuan发布了新的文献求助10
16秒前
认真科研发布了新的文献求助10
16秒前
嘻嘻发布了新的文献求助10
16秒前
陈追命发布了新的文献求助10
16秒前
17秒前
17秒前
高分求助中
Sustainability in Tides Chemistry 2800
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
Rechtsphilosophie 1000
Bayesian Models of Cognition:Reverse Engineering the Mind 888
Le dégorgement réflexe des Acridiens 800
Defense against predation 800
Very-high-order BVD Schemes Using β-variable THINC Method 568
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3135254
求助须知:如何正确求助?哪些是违规求助? 2786259
关于积分的说明 7776312
捐赠科研通 2442153
什么是DOI,文献DOI怎么找? 1298474
科研通“疑难数据库(出版商)”最低求助积分说明 625112
版权声明 600847