Gedgaudas R K, Kelvin F M, Thompson W M, Rice R P
Radiology. 1983 Mar;146(3):609-13. doi: 10.1148/radiology.146.3.6828673.
The value of the barium-enema examination in the assessment of pelvic masses was studied in 44 patients. Findings from those barium-enema examinations and from pathological specimens from 37 patients who had malignant tumors and seven patients who had endometriosis were retrospectively analyzed to determine if the barium-enema examination is useful in differentiating extrinsic lesions with and without invasion of the colon. None of the 12 patients who had extrinsic lesions had any of the criteria that indicated bowel-wall invasion. These criteria included fixation and serrations of the bowel wall in all patients with invasion, and ulceration and fistulization in those patients who had complete transmural invasion. In patients with pelvic masses, the preoperative barium-enema examination may be useful to the surgeon in planning surgery and in preparing the patient for the possibility of partial colectomy or colostomy.
对44例患者进行了钡灌肠检查在盆腔肿块评估中的价值研究。回顾性分析了这些钡灌肠检查的结果以及37例患有恶性肿瘤和7例患有子宫内膜异位症患者的病理标本，以确定钡灌肠检查是否有助于鉴别有无侵犯结肠的外在性病变。12例患有外在性病变的患者均无提示肠壁侵犯的任何标准。这些标准包括所有有侵犯的患者肠壁的固定和锯齿状改变，以及那些有全层侵犯的患者的溃疡和瘘管形成。对于盆腔肿块患者，术前钡灌肠检查可能有助于外科医生规划手术，并使患者为可能的部分结肠切除术或结肠造口术做好准备。
