Mikkelsen A L, Felding C
Department of Gynecology and Obstetrics, Hvidovre Hospital, Denmark.
Gynecol Obstet Invest. 1990;30(3):162-4. doi: 10.1159/000293253.
The results of preoperative pelvic examination and eventual ultrasound examination were correlated with the laparoscopic findings in 316 women with acute pelvic pain. The predictive values of normal and abnormal findings at pelvic examination were 46.9 and 82.1%, respectively. 42.1% of the women had ultrasound examination performed. This investigation showed to be helpful especially in patients with normal findings at pelvic examination. If ultrasonic findings were abnormal the results at laparoscopy were also abnormal in 90%. On the contrary, normal findings at ultrasound examination did not exclude abnormal pelvic findings. The predictive value of normal results at ultrasound examination was 50.0%. This discrepancy between ultrasonic and pelvic findings can be explained by the size of the pelvic masses. Ultrasound examination is a valuable tool in the evaluation of patients with acute pelvic pain, but it cannot replace laparoscopy.
对316例急性盆腔疼痛的女性患者，将术前盆腔检查结果及最终的超声检查结果与腹腔镜检查结果进行了对比。盆腔检查正常及异常结果的预测值分别为46.9%和82.1%。42.1%的女性进行了超声检查。这项检查显示尤其对盆腔检查结果正常的患者有帮助。如果超声检查结果异常，腹腔镜检查结果90%也为异常。相反，超声检查结果正常并不能排除盆腔存在异常。超声检查结果正常的预测值为50.0%。超声与盆腔检查结果之间的这种差异可通过盆腔肿块的大小来解释。超声检查是评估急性盆腔疼痛患者的一项有价值的工具，但它不能替代腹腔镜检查。
