Nozoe T, Matsumata T, Sugimachi K
Department of Gastroenterology, Saiseikai Yahata General Hospital, Kitakyushu, Japan.
Am J Gastroenterol. 1999 Sep;94(9):2509-12. doi: 10.1111/j.1572-0241.1999.01385.x.
Transvaginal ultrasonography (TVUS) is widely used to diagnose diseases in obstetrics and gynecology. We performed TVUS for diagnosing peritoneal dissemination preoperatively in cases of advanced gastric carcinoma in women.
Thirty-six female patients with advanced gastric carcinoma were investigated in the current study. TVUS was performed for 24 patients. Computed tomography (CT) was done for all of the women, and the sensitivity and specificity in detecting the existence of ascites were compared between the two in preoperative examinations.
The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of CT in detecting ascites were 46.7%, 100%, 100%, 72.4%, and 77.8%, respectively. The results of TVUS were rated as 80%, 100%, 100%, 87.5%, and 91.7%, respectively.
Preoperative TVUS is quite significant for predicting the existence of peritonitis carcinomatosa in women with advanced gastric carcinoma. The aim of the current study was to reduce the use of inappropriate and invasive surgical treatments, including exploratory laparotomy, for women with incurable advanced gastric carcinoma.
经阴道超声检查（TVUS）广泛应用于妇产科疾病的诊断。我们对女性晚期胃癌患者进行TVUS检查以术前诊断腹膜播散情况。
本研究纳入36例女性晚期胃癌患者。对其中24例患者进行了TVUS检查。所有女性患者均接受了计算机断层扫描（CT）检查，并比较了二者在术前检查中检测腹水存在情况的敏感性和特异性。
CT检测腹水的敏感性、特异性、阳性预测值、阴性预测值和准确性分别为46.7%、100%、100%、72.4%和77.8%。TVUS的结果分别为80%、100%、100%、87.5%和91.7%。
术前TVUS对预测女性晚期胃癌患者腹膜癌转移的存在具有重要意义。本研究的目的是减少对无法治愈的晚期胃癌女性患者进行不适当和侵入性手术治疗的使用，包括剖腹探查术。
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