Hänggi W, Brandenberger A W, Ammann M, Laely A, Dietz T U, Herrmann U
Universitäts-Frauenklinik Bern.
Ultraschall Med. 1995 Feb;16(1):2-7. doi: 10.1055/s-2007-1003228.
Two hundred and three non-pregnant women who underwent diagnostic dilatation and curettage or hysterectomy were included in a prospective study designed to assess the accuracy of transvaginal sonography in conforming or excluding the presence of uterine cancer. All preoperative sonographic findings were compared with the final histological diagnosis. The predictive value of sonographic evidence of malignancy was 71.1% (32/45), the predictive value of benign disease was 95.6% (151/158). Sensitivity was 82.1% (32/39) and specificity 92.1% (151/164). Although sensitivity and specificity increased as compared to an earlier study using transabdominal ultrasound, we recommend dilatation and curettage in women with postmenopausal bleeding.
203名接受诊断性刮宫或子宫切除术的未孕女性被纳入一项前瞻性研究，该研究旨在评估经阴道超声检查在确诊或排除子宫癌方面的准确性。所有术前超声检查结果均与最终组织学诊断结果进行比较。恶性超声证据的预测价值为71.1%（32/45），良性疾病的预测价值为95.6%（151/158）。敏感性为82.1%（32/39），特异性为92.1%（151/164）。尽管与早期使用经腹超声的研究相比，敏感性和特异性有所提高，但我们建议对绝经后出血的女性进行刮宫。
