Lorenz R, Krestin G P, Schmitz-Rixen T, Arnold G
Insitut und Poliklinik für Radiologische Diagnostik, Universität zu Köln.
Rofo. 1990 May;152(5):516-22. doi: 10.1055/s-2008-1046914.
Taking the results of 307 cases with peritoneal carcinomatosis, the diagnostic value of ultrasonography and computerized tomography in the detection of peritoneal spread of gynaecological and gastrointestinal tumors is discussed. Ascites is the most important, though nonspecific, symptom which can be detected with the greatest accuracy. Peritoneal nodular lesions as well as omental and/or mesenteric involvement can easily be missed by both methods. Thus, staging-laparotomy cannot be replaced in the management of gynecologic malignancies.
通过对307例腹膜癌病例的研究结果，探讨了超声检查和计算机断层扫描在检测妇科和胃肠道肿瘤腹膜转移方面的诊断价值。腹水是最重要的症状，虽然不具特异性，但检测准确性最高。两种方法都很容易漏诊腹膜结节性病变以及大网膜和/或肠系膜受累情况。因此，在妇科恶性肿瘤的治疗中，分期剖腹探查术无法被取代。
