经阴道彩色多普勒超声联合阴道镜诊断宫颈癌临床价值  

Clinical Value of Transvaginal Color Doppler Ultrasonography Combined with Colposcopy in the Diagnosis of Cervical Cancer

作　　者：梁宁珠 LIANG Ning-zhu(Zhongshan Dongfeng People’s Hospital,Guangdong Zhongshan 528425)

机构地区：[1]中山市东凤人民医院,广东中山528425

出　　处：《中国医疗器械信息》2023年第14期19-21,89,共4页China Medical Device Information

摘　　要：目的:探讨经阴道彩色多普勒超声联合阴道镜检查在诊断宫颈癌诊断中的应用效果。方法:分析本院妇科门诊2017年1月~2021年12月收治的105例疑似宫颈癌患者为试验对象,分别予以经阴道彩色多普勒超声检查、阴道镜和经阴道彩色多普勒超声联合阴道镜检查(简称:联合检查),以病理检测结果作为金标准,分析上述检查方式的诊断符合率、敏感度、特异度、假阳性率、假阴性率等,比较经阴道彩色多普勒超声检查、阴道镜和联合检查对宫颈癌的诊断价值。结果:经阴道彩色多普勒超声、阴道镜检查及联合检查对宫颈癌和癌前病变的诊断符合率分别为53.33%、82.86%、98.10%,敏感度分别为59.46%、83.78%、97.30%,特异度分别为70.97%、80.65%、100.00%,假阳性率分别为29.03%、19.35%、0,假阴性率分别为36.47%、5.41%、0;上述三种检查结果与病理结果比较Kappa系数为0.642、0.815、0.967。宫颈癌患者PSV显著低于癌前病变与宫颈炎,而RI显著高于癌前病变与宫颈炎,差异有统计学意义(P<0.05)。结论:经阴道彩色多普勒超声联合阴道镜检查可以提高宫颈癌及癌前病变的确诊率,且联合检查可有效区分癌前病变与宫颈炎,具有很高的临床价值。Objective:To investigate the application effect of transvaginal color Doppler ultrasonography combined with colposcopy in the diagnosis of cervical cancer.Methods:A total of 105 patients with suspected cervical cancer who were admitted to the gynecological outpatient department of our hospital from January 2017 to December 2021 were analyzed as the test subjects,and underwent transvaginal color Doppler ultrasonography,colposcopy and transvaginal color Doppler ultrasonography combined colposcopy(abbreviation:combined examination)respectively,and using the pathological test results as the gold standard.The diagnostic coincidence rate,sensitivity,specificity,false positive rate and false negative rate of the above examination methods were analyzed,and the diagnostic value of transvaginal color Doppler ultrasonography,colposcopy and combined examination for cervical cancer were compared.Results:The diagnostic coincidence rates of transvaginal color Doppler ultrasound,colposcopy and combined examination for cervical cancer and precancerous lesions were 53.33%,82.86%and 98.10%,and the sensitivities were 59.46%,83.78%and 97.30%,the specificities were 70.97%,80.65%and 100.00%,and the false positive rates were 29.03%,19.35%and 0,and the false negative rates were 36.47%,5.41%and 0,respectively.The Kappa coefficients of the above three examination results compared with the pathological results were 0.642,0.815,and 0.967,respectively.The PSV of cervical cancer patients was significantly lower than that of precancerous lesions and cervicitis,while the RI was significantly higher than that of precancerous lesions and cervicitis,and the difference was statistically significant(P<0.05).Conclusion:Transvaginal color Doppler ultrasonography combined with colposcopy can improve the diagnosis rate of cervical cancer and precancerous lesions,and the combined examination can effectively distinguish precancerous diseases from cervicitis.

关 键 词：宫颈癌 宫颈炎 超声检查 阴道镜检查 临床价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]