Wicks J D, Mettler F A, Hilgers R D, Ampuero F
J Clin Ultrasound. 1984 Sep;12(7):397-402. doi: 10.1002/jcu.1870120704.
The findings from preoperative diagnostic ultrasound were compared with operative and pathologic findings in patients with ovarian cancer. Twenty laparotomies were diagnostic second-look procedures and 21 were therapeutic procedures in patients with clinically evident disease. Ultrasound was more reliable in patients with clinically suspected disease, but a site by site analysis demonstrated it is insensitive for detecting prevertebral adenopathy less than 3 cm in size, thin, 1.5 cm omental plaques, 5 cm or smaller lesions involving the mesentery or bowel and peritoneal masses 2 cm or less in size. Ultrasound was most sensitive in the detection of ascites.
将卵巢癌患者术前诊断性超声检查的结果与手术及病理结果进行了比较。20例剖腹手术为诊断性二次探查手术,21例为针对临床症状明显患者的治疗性手术。超声在临床疑似疾病患者中更可靠,但逐部位分析表明,对于检测小于3厘米大小、较薄的椎前淋巴结肿大、1.5厘米的网膜小结节、累及肠系膜或肠的5厘米或更小病变以及2厘米或更小的腹膜肿块,超声检查不敏感。超声在检测腹水中最为敏感。