经阴道彩色多谱勒超声对宫颈疾病的诊断价值

目的通过分析各类宫颈疾病经阴道彩色多普勒超声声像特征,探讨经阴道彩色多谱勒超声对宫颈疾病的诊断价值。方法总结2003年至2006年本院诊治的各类宫颈疾病的病例,分析其经阴道彩色多普勒超声的声像特征,追踪手术及病理结果。结果共70例,其中宫颈囊肿38例(宫颈纳氏囊肿35例,宫颈子宫内膜异位囊肿3例),宫颈息肉5例,宫颈肌瘤5例,宫颈带蒂黏膜下子宫肌瘤2例,宫颈妊娠2例,宫颈机能不全3例,宫颈恶性肿瘤15例,全部病例经手术(48例)、宫腔镜检(22例)或宫颈刮片(4例)处理,超声与病理诊断符合率97%。结论经阴道彩色多谱勒超声对诊断宫颈疾病方便、有效,可作为诊断宫颈疾病的首选检查方法。

The diagnostic value of transvaginal color Doppler ultrasound for cervical diseases

Objective To evaluate the diagnostic value of transvaginal color Doppler ultrasound for the cervical diseases.Method Cases of cervical disease diagnosed and managed from 2003 to 2006 were included.Transvaginal color Doppler sonographic(TVS) findings,clinical treatments,pathologic results were followed up and analyzed.Results 70 cases of cervical disease were identified,including 40 cases of cervical cyst(35cases of Naboth cyst,3 cases of endometriosis cyst),5 cases of cervical polyps,5 cases of cervical fibroma,2 cases of uterine submucous myoma projecting to cervix,2 cases of cervical pregnancy,3 cases of cervical dysfunction,15 cases of malignant tumor.The ultrasonic diagnosis was accordant to pathologic results in 97% patients.Conclusion Transvaginal color Doppler ultrasound can make precise diagnosis for cervical diseases.It is the preferred method for the diagnosis of cervical diseases.