摘要
目的探讨经阴道彩色多普勒超声对宫颈糜烂样改变的诊断价值。方法对107例经腹部超声拟诊为宫颈糜烂样改变的患者,用高频经阴道彩色多普勒超声的方法,于阴道后穹窿采取纵、横、斜切多角度扫查,观察宫颈大小、形态、厚度、前后壁肌层是否均匀,观察宫颈管内有无异常回声,同时观察宫颈黏膜回声有无改变,并将检查结果与临床妇科检查扩开宫颈后肉眼直观所见状况及子宫颈细胞学检查和(或)HPV检测相对比。结果 107例超声可疑宫颈糜烂样患者,与临床妇科检查结果大致相符,诊断符合率为99%。其声像图有特征性的改变,而且易于诊断与鉴别诊断。结论经阴道超声诊断宫颈糜烂样改变有较高的准确性,同时可以初步判断其程度,可以作为一种筛查宫颈糜烂样改变的手段,具有较高的临床实用价值。
Objective To investigate diagnostic value of transvaginal color Doppler ultrasound for cervical erosion change. Methods In 107 cases of abdominal ultrasound diagnosed as cervical erosion change of patients, used transvaginal color Doppler ultrasound with high frequency. In the posterior fornix of vagina longitudinal, transverse, oblique taken multi angle scanning, Observed cervical size, shape, thickness, and wall muscle layer was uniform, observed the cervical tube had no abnormal echo. To observe the cervical canal had no abnormal echo. At the same time, observed the cervical mucosa echo had no change. The examination results with the clinical examination of department of gynecology expansion after cervical unaided intuitive see status and cervical cytology or compared to the HPV detection. Results 107 cases of suspected cervical erosion patients with uhrasound, Roughly consistent with the clinical results of gynecological examination. The diagnostic accordance rate was 99%. The sonographic characteristics of change, but also easy to diagnose. Conclusions Transvaginal sonography in the diagnosis of cervical erosion is changed with high accuracy. At the same time, we can estimate its degree, can be used as a screening method of cervical erosion change, have a high clinical practical value.
出处
《齐齐哈尔医学院学报》
2014年第2期230-231,共2页
Journal of Qiqihar Medical University
关键词
经阴道超声
宫颈糜烂样改变
声像图
Transvaginal ultrasound
Cervical erosion change
Ultrasonography
