Mills P, Joseph A E, Adam E J
Department of Diagnostic Radiology, St George's Hospital, Tooting, London.
Br J Radiol. 1989 Nov;62(743):974-6. doi: 10.1259/0007-1285-62-743-974.
Ultrasound examination is a rapid and non-invasive method of examining the abdomen. Opinions differ as to whether the entire abdomen and pelvis should be examined in all cases or whether examination can be confined to the region of suspected pathology. The aim of this study was to evaluate the diagnostic yield of total abdominal and pelvic ultrasound examination in patients referred for primary diagnostic ultrasound and with particular reference to specific symptoms. The results of 1000 examinations were analysed. In 25% of patients, a significant abnormality was found and almost one-third of these were incidental findings. The incidence of abnormalities was not significantly different between patients referred via their general practitioners and those referred via the hospital outpatients department. We recommend total abdominal and pelvic examination in all cases regardless of the presenting symptoms.
超声检查是一种快速且无创的腹部检查方法。对于是否应在所有病例中对整个腹部和盆腔进行检查，还是检查可局限于疑似病变区域，存在不同观点。本研究的目的是评估在接受初次诊断性超声检查的患者中，全腹和盆腔超声检查的诊断率，并特别参考特定症状。分析了1000例检查结果。在25%的患者中发现了显著异常，其中近三分之一为偶然发现。通过全科医生转诊的患者与通过医院门诊部转诊的患者之间，异常发生率无显著差异。我们建议无论出现何种症状，所有病例均应进行全腹和盆腔检查。
