Department of Obstetrics and Gynaecology, Randers Regional Hospital, Randers, Denmark.
Department of Obstetrics and Gynaecology, Aarhus University Hospital, Aarhus, Denmark.
BMC Womens Health. 2021 Jan 13;21(1):26. doi: 10.1186/s12905-021-01173-z.
The aim of this study was to investigate the prevalence of incidental findings on transvaginal ultrasound scan in women referred with pelvic organ prolapse by a general practitioner and to investigate which further examinations and treatments were performed as a result of these findings.
This was a retrospective cohort study that investigated women with pelvic organ prolapse referred to the outpatient urogynaecological clinics at Randers Regional Hospital and Aarhus University Hospital, Denmark.
A total of 521 women were included and all of them were examined with a routine transvaginal ultrasound scan and a gynaecological examination. Prolapse symptoms only and no specific indication for transvaginal ultrasound scan were seen in 507 women (97.3%), while 14 women (2.7%) received scans on indication. Among the latter women, five (35.7%) had cancer. In the women with solely prolapse symptoms, 59 (11.6%) had incidental findings on transvaginal ultrasound scan, but all were benign. However, two patients were later diagnosed with cancer unrelated to the initial ultrasound findings. The treatment was extended with further examinations not related to POP in 19 of the women (32.2%) with incidental ultrasound findings.
The prevalence of incidental ultrasound findings was not high in the women referred with pelvic organ prolapse and no additional symptoms, and all these findings were benign. However, it should be considered that these findings resulted in further investigations and changes to the patients' initial treatment plans. A meticulous anamnesis and digital vaginal examination are crucial to rule out the need for vaginal ultrasound.
本研究旨在调查由全科医生转诊的盆腔器官脱垂女性行经阴道超声检查的偶然发现的发生率，并调查这些发现导致进行了哪些进一步的检查和治疗。
这是一项回顾性队列研究，调查了丹麦兰讷斯地区医院和奥胡斯大学医院的门诊泌尿科妇科诊所转诊的盆腔器官脱垂女性。
共纳入 521 名女性，所有患者均接受常规经阴道超声检查和妇科检查。507 名女性（97.3%）仅出现脱垂症状且无经阴道超声检查的特定指征，而 14 名女性（2.7%）因指征接受了检查。在后者中，有 5 名（35.7%）患有癌症。在仅出现脱垂症状的女性中，59 名（11.6%）经阴道超声检查发现偶然发现，但均为良性。然而，有两名患者后来被诊断出与初始超声检查结果无关的癌症。在 19 名（32.2%）偶然发现超声异常的女性中，由于这些发现而进行了与 POP 无关的进一步检查和治疗。
在转诊的盆腔器官脱垂且无其他症状的女性中，偶然发现超声异常的发生率并不高，且所有这些发现均为良性。然而，应该考虑到这些发现导致了进一步的调查和对患者初始治疗计划的改变。详细的病史询问和阴道指诊对于排除阴道超声检查的必要性至关重要。
