期刊
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
卷 16, 期 5, 页码 618-621出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jmig.2009.05.006
关键词
Angiogenesis; Endometriosis; Laparoscopy; Narrow-band imaging; Vascular analysis software; Vascular density
A pilot study was designed to analyze the vascular density of peritoneal endometriosis in 3 groups of lesions (red, black, and white) in 23 patients with peritoneal endometriosis who underwent laparoscopic surgery using the narrow-band imaging system and vascular analysis software. In the peritoneum, 21 red lesions were present in 10 patients, 12 black lesions were present in 9 patients, 12 white lesions were present in 8 patients, and 2 types of lesion were concomitantly present in 4 patients. Median vascular density of red, black, and white lesions under conventional light was 60.3%, 62.3%, and 60.6%, respectively, and under narrow-band light was 64.4%, 61.5%, and 62.0%, respectively, showing no significant differences among the lesions under either conventional or narrow-band light (p = .71 and p = .84, respectively). The median difference in vascular density under narrow-band and conventional light was not significantly different in black lesions (0.8%) or white lesions (1.0%); however, a difference of 4.5% was noted for red lesions (p < .001). We conclude that red lesions are indicative of early-stage endometriosis with angiogenesis. Use of the narrow-band system and vascular analysis software can enable accurate, objective, and reproducible evaluation of vascular density. Journal of Minimally Invasive Gynecology (2009) 16, 618-621 (C) 2009 AAGL. All fights reserved.
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