经阴道超声检查正常宫颈及宫颈良性病变的价值

Role of transvaginal sonography in diagnosing normal cervix and benign cervical lesions

目的 评价经阴道超声检查显示正常宫颈及宫颈良性病变方面的作用。方法 13 8例因不同原因在全宫切除前经阴道镜检查病理无恶性的患者 ,术前 2周内进行经阴道超声检查 ,超声结果与术后病理结果对比。结果 经阴道超声检查宫颈良性病变最常见的是宫颈囊肿 3 9例 ,宫颈息肉 17例 ,宫颈肌瘤 14例 ,宫颈炎2 7例 ,宫颈无异常声像表现 41例。病理检查宫颈囊肿 42例 ,宫颈息肉 14例 ,宫颈肌瘤 16例 ,宫颈炎 17例 ,宫颈正常 49例。结论 经阴道超声检查诊断正常宫颈和宫颈良性病变敏感性和特异性高 ,可为临床提供可靠的诊断依据。

Objective To evaluate the role of transvaginal sonography in diagnosing the normal cervix and its benign lesions.Methods The one handred and thirty eight women without malignant findings by colposcopy examination underwent transvaginal sonography within 2 weeks before hyterectomy. The sonography findings were compared with the pathology report.Results Cervical cysts(39 cases) were the most common sonography findings. In 17 cases, endocervical polyps were found sonographically,in 14 cases, myomas were found,and in 27 cases cervicitis were found. The cervix showed no sonographic abnormal in 41. Pathologic results showed 42 cervical cysts, 14 cervical polyps, 16 myomas, 17 cervicitis and 49 normal cervices.Conclusions The sensitivity and specificity of transviginal sonography are high in diagnosing normal cervices and benign cervical lessions. Transviginal sonography provides reliable diagnosing information about the cervix for clinic.