Ueland Fred R, Depriest Paul D, Desimone Christopher P, Pavlik Edward J, Lele Subodh M, Kryscio Richard J, van Nagell J R
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Kentucky Medical Center-Markey Cancer Center, 800 Rose Street, Lexington, KY 40536-0293, USA.
Gynecol Oncol. 2005 Nov;99(2):400-3. doi: 10.1016/j.ygyno.2005.06.030. Epub 2005 Aug 9.
To compare pelvic examination under anesthesia to transvaginal sonography (TVS) as a method for ovarian detection and measurement.
Two hundred and eighty-nine ovaries from 151 women were evaluated. After induction of anesthesia, a complete pelvic examination and TVS were performed, and the ovaries were removed surgically. Ovarian dimensions generated sonographically and estimated on clinical examination were compared to those obtained from the measured surgical specimen.
Forty-four percent of ovaries were palpable clinically whereas 85% were visualized sonographically (P < 0.001). Right ovaries were palpable more frequently than left ovaries (P < 0.01). Ovaries were detected clinically in 30% of women > or = 55 years of age versus 51% of women <55 years of age (P < 0.05), in 9% of women weighing > or = 200 lb versus 55% of women weighing <200 lb (P < 0.001), and in 12% of women with a uterine weight > or = 200 g versus 51% of women with a uterine weight <200 g (P < 0.001). TVS was significantly more accurate than clinical examination in detecting ovaries in women with these high risk characteristics.
TVS is significantly more accurate than clinical examination in detecting ovaries and in defining their dimensions. Ovaries frequently are not palpable in women > or = 55 years of age, women who weigh > or = 200 lb, or women with an enlarged uterus (> 200 g). The addition of TVS to annual pelvic examination may be beneficial in women > or = 55 years of age who are overweight and therefore at high risk to develop ovarian cancer.
比较麻醉下盆腔检查与经阴道超声检查（TVS）作为卵巢检测和测量方法的效果。
对151名女性的289个卵巢进行评估。麻醉诱导后，进行全面的盆腔检查和TVS检查，然后通过手术切除卵巢。将超声检查得出的卵巢尺寸及临床检查估计的尺寸与测量的手术标本所得尺寸进行比较。
44%的卵巢在临床上可触及，而85%可通过超声检查显示（P < 0.001）。右侧卵巢比左侧卵巢更常可触及（P < 0.01）。在年龄≥55岁的女性中，30%的卵巢可通过临床检查检测到，而在年龄<55岁的女性中这一比例为51%（P < 0.05）；体重≥200磅的女性中，9%的卵巢可通过临床检查检测到，而体重<200磅的女性中这一比例为55%（P < 0.001）；子宫重量≥200克的女性中，12%的卵巢可通过临床检查检测到，而子宫重量<200克的女性中这一比例为51%（P < 0.001）。在具有这些高危特征的女性中，TVS在检测卵巢方面明显比临床检查更准确。
在检测卵巢及其尺寸方面，TVS明显比临床检查更准确。年龄≥55岁、体重≥200磅或子宫增大（>200克）的女性中，卵巢常常无法触及。对于年龄≥55岁、超重且因此患卵巢癌风险高的女性，在年度盆腔检查中增加TVS检查可能有益。
