Buckshee K, Temsu I, Bhatla N, Deka D
Department of Obstetrics and Gynecology, ALL India Institute of Medical Sciences, New Delhi.
Int J Gynaecol Obstet. 1998 Apr;61(1):51-7. doi: 10.1016/s0020-7292(98)00018-6.
To assess and compare the efficacy of pelvic examination, transvaginal ultrasound and transvaginal color Doppler imaging in differentiating benign and malignant ovarian tumors.
34 patients with ovarian tumors scheduled for laparotomy underwent pelvic examination and a diagnosis of benign or malignant tumor was made. Transvaginal ultrasound was carried out to study the ovarian morphology followed by color Doppler imaging. A score of > or = 9 on Sassone scoring system or a pulsatility index < 1 was taken as suspicious for malignancy.
Of all the three indicators (pelvic examination, transvaginal sonography and Doppler) transvaginal sonography had the highest sensitivity (100%) and Doppler had maximum specificity (96.29%) for predicting malignancy. However, statistical analysis did not show any difference in the predicting ability of these three modalities.
Pelvic examination, transvaginal sonography and Doppler all had similar ability to predict malignancy in an adnexal mass.
评估并比较盆腔检查、经阴道超声及经阴道彩色多普勒成像在鉴别卵巢良恶性肿瘤中的疗效。
34例计划行剖腹手术的卵巢肿瘤患者接受了盆腔检查，并对肿瘤的良恶性做出诊断。随后进行经阴道超声检查以研究卵巢形态，接着进行彩色多普勒成像。Sassone评分系统得分≥9分或搏动指数<1被视为恶性可疑。
在所有三项指标（盆腔检查、经阴道超声检查和多普勒检查）中，经阴道超声检查对预测恶性肿瘤的敏感性最高（100%），多普勒检查的特异性最高（96.29%）。然而，统计分析显示这三种检查方式在预测能力上没有任何差异。
盆腔检查、经阴道超声检查和多普勒检查在预测附件包块恶性肿瘤方面具有相似的能力。
