超声对宫颈肥大性宫颈炎诊断价值探讨

Investigation of the value of ultrasonography on the diagnosis of chronic cervicitis

目的探讨B型超声波检查对引起宫颈肥大等慢性宫颈炎（CCI）的诊断价值。方法对93例经临床和组织病理学证实的CCI与50例对照组比较分析。结果CCI声像主要为：①宫颈肥大，88例厚（3.1±0.6）cm，比较30例对照组（2．7±0.9）cm；②宫颈外缘、后缘增强，47例厚（0．17±0．04）cm，比较50例对照组（0．12±0．04）cm，两组比较差异有统计学意义（P〈0．001）；③宫颈囊肿，单个或多发性，符合率84％；（筘例拟诊宫颈息肉，符合3／5。结论B超可用于慢性宫颈炎筛查的诊断。

To explore the value of diagnostic ultrasound for chronic cervicitis （CCI）. Methods 93 patients in the study group with CCI diagnosed by clinical examination, cervical smear and pathological diagnosis post-operation were compared with 50 normal cases in the control group. Results Ultrasonic characteristics indicating CCI include：①Broadened cervix. Cervical thickness in 88 patients of the study Sroup [ （3.1 ± 0.6） cm ] was statistical different from that in the control Sroup [ （ 2.7 ± 0.9） cm ] （ P 〈 0. 001 ）. （2）Ultrasound echo stronger in the posterior of the 47 patients of the study group [ （0. 17 ± 0.04） cm ] was statistical different from that in the 50 patients in control group [ （0. 12 ± 0. 04）cm] （ P 〈0. 001 ）. ③Eighty four percent patients with CCI had cervical cyst. ~Fnree in five patients were diagnosed of cervical polypus. CCI showed the ultrasonographic characteristics. Conclusion CCI possess specific ultrasonographic characteristics. Ultrasonography is effective to diagnose CCI and is useful in detecting cervix disease.