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妇科盆腔肿块的超声检查:不明确的子宫及其他与诊断错误相关的模式。

Ultrasound of gynecologic pelvic masses: the indefinite uterus and other patterns associated with diagnostic error.

作者信息

Bowie J D

出版信息

J Clin Ultrasound. 1977 Oct;5(5):323-8. doi: 10.1002/jcu.1870050508.

DOI:10.1002/jcu.1870050508
PMID:410837
Abstract

In a series of 99 pelvic ultrasound examinations for suspected gynecologic masses, there were 72 established tissue diagnoses. The ultrasound diagnosis was correct in 61 (85 per cent). The specificity, based on a small number (six) of actual negative cases, was 67 per cent. The sensitivity, based on 57 actual positive cases, was 100 per cent. The ultrasound pattern of a homogeneous solid mass obscuring part or all of the uterine border was commonly associated with an erroneous diagnosis. When this pattern is seen, examination of the patient with higher frequency transducers provides useful information that supplements high- and low-gain scans.

摘要

在针对疑似妇科肿块进行的99次盆腔超声检查中,有72例确诊为组织病变。超声诊断正确的有61例(85%)。基于少量(6例)实际阴性病例得出的特异性为67%。基于57例实际阳性病例得出的敏感性为100%。均匀实性肿块遮挡部分或全部子宫边界的超声图像通常与错误诊断相关。当出现这种图像时,使用更高频率的换能器对患者进行检查可提供补充高增益和低增益扫描的有用信息。

相似文献

1
Ultrasound of gynecologic pelvic masses: the indefinite uterus and other patterns associated with diagnostic error.妇科盆腔肿块的超声检查:不明确的子宫及其他与诊断错误相关的模式。
J Clin Ultrasound. 1977 Oct;5(5):323-8. doi: 10.1002/jcu.1870050508.
2
Gray-scale ultrasound in 204 proved gynecologic masses: accuracy and specific diagnostic criteria.204例经灰度超声检查证实的妇科肿块:准确性及特异性诊断标准
Radiology. 1979 Feb;130(2):391-7. doi: 10.1148/130.2.391.
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Prospective comparison of ultrasound and computed tomography in the evaluation of gynecologic pelvic masses.超声与计算机断层扫描在评估妇科盆腔肿块中的前瞻性比较。
AJR Am J Roentgenol. 1978 Dec;131(6):955-60. doi: 10.2214/ajr.131.6.955.
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Imaging of questionable and unusual pelvic masses.可疑及罕见盆腔肿块的影像学检查
Br J Radiol. 1986 Aug;59(704):765-71. doi: 10.1259/0007-1285-59-704-765.
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Diagnostic ultrasound in the evaluation of patients with gynecologic cancer.诊断性超声在妇科癌症患者评估中的应用
Surg Clin North Am. 1978 Feb;58(1):3-18. doi: 10.1016/s0039-6109(16)41429-5.
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Evaluation of gynecologic pelvic masses by ultrasound and computed tomography.超声和计算机断层扫描对妇科盆腔肿块的评估
J Reprod Med. 1982 Jan;27(1):45-50.
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Endometriosis: clinical and ultrasonic correlation.子宫内膜异位症:临床与超声相关性
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[Echography and CAT in the evaluation of gynecologic pelvic masses].[超声检查和计算机断层扫描在妇科盆腔肿块评估中的应用]
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Diagnosis of gynecologic pelvic masses by gray scale ultrasonography: analysis of specificity and accuracy.经阴道超声检查对妇科盆腔肿块的诊断:特异性和准确性分析
AJR Am J Roentgenol. 1977 Jun;128(6):1003-6. doi: 10.2214/ajr.128.6.1003.

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