CAJ | 학술논문

目的：探讨经阴道彩色多普勒超声在诊断宫颈占位中的价值。方法选取本院2010年12月至2013年12月疑似宫颈占位病变患者179例，均行经阴道彩色多普勒超声检查，后经手术及病理组织学检查确诊，宫颈占位病变患者114例，非宫颈占位病变患者65例，分析经阴道彩色多普勒超声在诊断宫颈占位中的价值。结果经阴道彩色多普勒超声检查的灵敏度、特异度、准确度分别为98.2%、98.5%、98.3%。经阴道彩色多普勒超声诊断的112例宫颈占位病变患者中，宫颈癌37例、宫颈肌瘤23例、宫颈息肉41例、黏膜下子宫肌瘤10例、宫颈妊娠1例。结论经阴道彩色多普勒超声是宫颈占位的有效诊断方法，具有高灵敏度、高特异度、高准确度的特点，可为患者疾病的诊断和治疗提供有效的科学依据，值得临床推广使用。
목적：탐토경음도채색다보륵초성재진단궁경점위중적개치。방법선취본원2010년12월지2013년12월의사궁경점위병변환자179례，균행경음도채색다보륵초성검사，후경수술급병리조직학검사학진，궁경점위병변환자114례，비궁경점위병변환자65례，분석경음도채색다보륵초성재진단궁경점위중적개치。결과경음도채색다보륵초성검사적령민도、특이도、준학도분별위98.2%、98.5%、98.3%。경음도채색다보륵초성진단적112례궁경점위병변환자중，궁경암37례、궁경기류23례、궁경식육41례、점막하자궁기류10례、궁경임신1례。결론경음도채색다보륵초성시궁경점위적유효진단방법，구유고령민도、고특이도、고준학도적특점，가위환자질병적진단화치료제공유효적과학의거，치득림상추엄사용。
Objective To investigate the value of transvaginal color Doppler ultrasound in the diagnosis of patients with cervical lesions. Methods 179 patients with suspected cervical lesions in our hospital from December 2010 to December 2013 were selected in this study. All cases received transvaginal color Doppler ultrasound. All cases were confirmed by operation and histopathological examination, including 114 cases of cervical lesion, and 65 cases of non cervical lesion. The value of transvaginal color Doppler ultrasound in diagnosis of cervical lesions was analyzed. Results The sensitivity, specificity, and accuracy of transvaginal color Doppler ultrasound were 98.2%, 98.5%and 98.3%respectively. 112 patients with cervical lesions diagnozed by transvaginal color Doppler ultrasound included 37 cases of cervical cancer, 23 cases of cervical myoma, 41 cases of cervical polyps, 10 cases of ubmucosal myoma of uterus and one case of cervical pregnancy. Conclusions Transvaginal color Doppler ultrasound is an effective method in diagnosis of cervical lesions, which has high sensitivity, specificity and accuracy. Transvaginal color Doppler ultrasound can provide scientific basis for diagnosis and treatment of patients, which is worthy of clinical application.