Umbach G E, Zubek S, Deck H J, Buhl R, Bender H G, Jungblut R M
Department of Obstetrics and Gynecology, Düsseldorf University, Federal Republic of Germany.
Arch Gynecol Obstet. 1988;243(3):179-85. doi: 10.1007/BF00932085.
We assessed the value of preoperative chest x-rays in gynecological patients. Abnormalities were noted in the chest x-rays of 10% of 1175 patients with genital or breast disorders. When the chest x-ray was abnormal, 48% of patients had no clinical features of intrathoracic disease. Abnormal chest x-ray results did not seem to have a major influence on the decision to operate or on the type of anesthesia used. In our series, probably only one patient would have received inappropriate treatment in the absence of a chest x-ray. We conclude that preoperative chest x-rays are of value in ruling out metastases in patients with a suspected neoplasm, but have little value in other circumstances.
我们评估了术前胸部X光检查在妇科患者中的价值。在1175例患有生殖器或乳腺疾病的患者中，10%的患者胸部X光检查发现异常。当胸部X光检查结果异常时，48%的患者没有胸内疾病的临床特征。胸部X光检查结果异常似乎对手术决策或所用麻醉类型没有重大影响。在我们的系列研究中，如果没有胸部X光检查，可能只有一名患者会接受不适当的治疗。我们得出结论，术前胸部X光检查对于排除疑似肿瘤患者的转移灶有价值，但在其他情况下价值不大。
