Aoki S, Hata T, Senoh D, Makihara K, Hata K, Takamiya O, Kitao M
Department of Obstetrics and Gynecology, Shimane Medical University, Izumo, Japan.
Gynecol Oncol. 1990 Jan;36(1):82-9. doi: 10.1016/0090-8258(90)90113-y.
Transrectal ultrasonographic examinations were performed on 30 patients with uterine cervical cancer to assess parametrial invasion. The findings were compared with data obtained by manual rectal examination. Forty-six parametria in 23 patients were histologically examined following surgery. Sensitivity, specificity, positive predictive value, negative predictive value, and predictive accuracy of transrectal ultrasonography and rectal examination were 1.0 and 0.25 (P less than 0.05), 0.9 and 0.93, 0.5 and 0.25, 1.0 and 0.93, and 0.91 and 0.87, respectively. Therefore, transrectal ultrasonography may prove to be a useful diagnostic tool to determine the preoperative staging of uterine cervical cancer.
对30例宫颈癌患者进行经直肠超声检查以评估宫旁组织浸润情况。将检查结果与直肠指诊获得的数据进行比较。23例患者的46个宫旁组织在手术后进行了组织学检查。经直肠超声检查和直肠指诊的敏感度、特异度、阳性预测值、阴性预测值及预测准确率分别为1.0和0.25（P<0.05）、0.9和0.93、0.5和0.25、1.0和0.93、0.91和0.87。因此，经直肠超声检查可能是确定宫颈癌术前分期的一种有用的诊断工具。
