Guidozzi F, Sonnendecker E W
Department of Obstetrics and Gynaecology, University of the Witwatersrand Medical School, Johannesburg, South Africa.
Gynecol Oncol. 1991 Mar;40(3):244-7. doi: 10.1016/0090-8258(90)90285-s.
Consistent with universally established practice, it has been customary in our unit to subject patients with clinically suspected or biopsy proven ovarian cancer to a large number of preoperative investigations. This is in order to determine metastases, surgical strategy, and exclusion of pelvic kidney. This study presents a comparison of the preoperative ultrasonography, computerized tomography, intravenous pyelography, chest X-ray, liver and bone scintigraphy, and barium enema results performed in 100 cases with the operative findings. These investigations were found to have marginal value in determining extent of disease, upper gastrointestinal metastatic deposits, and the need for or extent of bowel resection. It is concluded that such a standard workup, which is time-consuming and distressing for an already anxious patient, is not cost effective for a surgical procedure which is ultimately determined at laparotomy.
与普遍确立的做法一致，在我们科室，对临床怀疑或经活检证实患有卵巢癌的患者进行大量术前检查已成为惯例。这样做是为了确定是否有转移、制定手术策略以及排除盆腔肾。本研究比较了100例患者术前超声检查、计算机断层扫描、静脉肾盂造影、胸部X线检查、肝脏和骨闪烁扫描以及钡剂灌肠检查的结果与手术所见。结果发现，这些检查在确定疾病范围、上消化道转移灶以及肠道切除的必要性或范围方面价值有限。得出的结论是，这样一套标准检查对于已经焦虑的患者来说既耗时又痛苦，对于最终在剖腹手术中确定的手术程序而言并不具有成本效益。
