Vascular Density of Peritoneal Endometriosis Using Narrow-Band Imaging System and Vascular Analysis Software

详细信息    查看全文

• 作者：Keiji Kuroda ; Mari Kitade ; Iwaho Kikuchi ; Jun Kumakiri ; Shozo Matsuoka ; Makoto Jinushi ; Yohei Shirai ; Masako Kuroda ; Satoru Takeda
• 关键词：giogenesis ; Endometriosis ; Laparoscopy ; Narrow-band imaging ; Vascular analysis software ; Vascular density
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2009
• 出版时间：September-October 2009
• 年：2009
• 卷：16
• 期：5
• 页码：618-621
• 全文大小：3638 K

文摘

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.