Loutradis D, Antsaklis A, Creatsas G, Hatzakis A, Kanakas N, Gougoulakis A, Michalas S, Aravantinos D
First Department of Obstetrics and Gynecology, Alexandra Maternity Hospital, Greece.
Gynecol Obstet Invest. 1990;29(1):47-50. doi: 10.1159/000293299.
The present study was undertaken to examine the reliability of the sonographic diagnosis in 705 gynecological patients. The determination of the lesions was defined according to the operative diagnosis. The sensitivity, specificity and positive predictive value of the ultrasound technique were evaluated using the surgical findings as 'gold standard'. In 631 patients (89.5%) the ultrasound examination established a correct diagnosis. The sensitivity and specificity of the ultrasound examination varied between 75-95.3% and 93.3-100%, respectively. The positive predictive value was found between 89.7 and 100%, while the false sonographic results were 10.4%, which included those of ectopic pregnancies. It is thus concluded that ultrasonography as compared to the surgical findings has proved to be of great value in establishing a gynecological diagnosis.
本研究旨在检验超声诊断在705例妇科患者中的可靠性。病变的确定依据手术诊断。以手术结果作为“金标准”，评估超声技术的敏感性、特异性和阳性预测值。在631例患者（89.5%）中，超声检查做出了正确诊断。超声检查的敏感性和特异性分别在75 - 95.3%和93.3 - 100%之间。阳性预测值在89.7%至100%之间，而超声检查的错误结果为10.4%，其中包括异位妊娠的误诊。因此得出结论，与手术结果相比，超声检查在妇科诊断中已被证明具有重要价值。
