Bostofte E, Larsen T, Torp-Pedersen S, Ottesen M
Department of Ultrasound, Herlev University Hospital, Denmark.
Eur J Obstet Gynecol Reprod Biol. 1992 Dec 28;47(3):239-43. doi: 10.1016/0028-2243(92)90158-u.
Ultrasound examination was performed on 307 patients admitted to Herlev Hospital, Copenhagen, for suspicion of a pelvic tumor. Of these, 194 were operated on, 38 (19.6%) having a malignant tumor and 156 with benign conditions. A solid tumor was suspected in 72 patients on whom intravenous pyelography, barium enema, cystoscopy and rectoscopy were performed, although 11 did not undergo an intravenous pyelography and 12 did not undergo a barium enema. Intravenous pyelography, barium enema, rectoscopy and cystoscopy very seldom gave unsuspected information and never changed the indications for operation. Ultrasound examination of the kidneys, urinary tract, bowel system, liver and retroperitoneum as a complementary investigation to the gynecologic examination of the pelvic tumor gave the same information as did the barium enema, intravenous pyelography, rectoscopy and cystoscopy. Therefore, we conclude that these investigations should be carried out only in patients with symptoms from the urinary tract or the bowel system. Instead, we suggest that ultrasound examination of a pelvic mass also include an examination of the kidneys, urinary tract, bowel system, liver and retroperitoneum.
对哥本哈根赫勒夫医院收治的307例疑似盆腔肿瘤患者进行了超声检查。其中194例接受了手术，38例（19.6%）患有恶性肿瘤，156例为良性疾病。72例患者疑似患有实性肿瘤，对其进行了静脉肾盂造影、钡剂灌肠、膀胱镜检查和直肠镜检查，不过有11例未进行静脉肾盂造影，12例未进行钡剂灌肠。静脉肾盂造影、钡剂灌肠、直肠镜检查和膀胱镜检查很少能提供意外信息，且从未改变手术指征。对肾脏、泌尿系统、肠道系统、肝脏和腹膜后进行超声检查作为盆腔肿瘤妇科检查的补充检查，其提供的信息与钡剂灌肠、静脉肾盂造影、直肠镜检查和膀胱镜检查相同。因此，我们得出结论，这些检查仅应在有泌尿系统或肠道系统症状的患者中进行。相反，我们建议对盆腔肿块进行超声检查时，还应包括对肾脏、泌尿系统、肠道系统、肝脏和腹膜后的检查。
