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目的评价经阴道彩色多普勒超声(TVCDS)对宫颈病变的诊断价值。方法从常规妇科超声检查患者中选取30例疑有宫颈病变者,采用经阴道超声着重检查宫颈部位,对检出的病变部位观察其大小、内部回声及血流情况,进行综合分析,作出超声诊断,并与手术及病理结果对照,分析诊断符合率。结果30例受检者中慢性宫颈炎4例,癌前病变3例,宫颈癌19例,正常无病变者4例,宫颈癌超声诊断符合率为78.9%。结论TVCDS对宫颈病变检出率较高,特别是局限于宫颈内口的宫颈癌,此方法因无创及方便而起到重要的筛查作用。
Objective To evaluate the diagnostic value of transvaginal color Doppler ultrasound (TVCDS) for cervical lesions. Methods Thirty cases of suspected cervical lesions were selected from routine gynecological ultrasonography. Transvaginal ultrasonography was used to examine the cervical site. The size, internal echo and blood flow of the lesions were observed and analyzed comprehensively to make ultrasonic diagnosis , And compared with the surgical and pathological results, analysis of diagnostic accuracy. Results 30 cases of chronic cervicitis in 4 cases, 3 cases of precancerous lesions, cervical cancer in 19 cases, 4 cases of normal non-lesions, cervical ultrasound diagnosis of 78.9%. Conclusion TVCDS has a high detection rate of cervical lesions, especially cervical cancer confined to the mouth of the cervix. This method plays an important screening role for non-invasive and convenient methods.