经阴道超声在宫颈癌髂内淋巴转移诊断中的价值.docVIP

经阴道超声在宫颈癌髂内淋巴转移诊断中的价值 　　[摘要] 目的 探?经阴道超声在宫颈癌髂内淋巴转移诊断中的价值。 方法 回顾性分析2014年1月～2017年4月在河北省唐山市人民医院诊断和手术治疗的宫颈癌患者56例的临床资料，以手术病理结果为金标准，记录超声常规特征与超声血流分型，判定超声诊断的效果。 结果 在56例患者中，超声判断为髂内淋巴转移38例，转移阳性率为67.9%。髂内淋巴转移阳性患者（n = 38）的病灶形态多为圆形、多合并存在包膜外侵、中心有坏死，病灶大小明显高于髂内淋巴转移阴性患者（n = 18）（P 0.05）。髂内淋巴转移炎性患者彩色多普勒超声血流分型Ⅰ型、Ⅱ型、Ⅲ型、Ⅳ型分别为30、6、2、0例，髂内淋巴转移阴性患者分别为0、2、6、10例，差异有统计学意义（P 0.05）。手术病理判断为髂内淋巴转移阳性36例，阴性20例，为此经阴道超声对宫颈癌髂内淋巴转移的诊断敏感性与特异性为97.2%和85.0%。 结论 髂内淋巴转移在宫颈癌中比较常见，经阴道常规超声与彩色多普勒超声的应用可有效显示病灶特征与血流状况，提高髂内淋巴转移的诊断敏感性与特异性，有很好的应用价值。 　　[关键词] 盆腔肿瘤；宫颈癌；经阴道超声；髂内淋巴转移；超声血流 　　[中图分类号] R445.1 [文献标识码] A [文章编号] 1673-7210（2017）11（a）-0103-04 　　Values of transvaginal ultrasound in the diagnosis of cervical lymph node metastasis 　　ZHENG Weiwei1 YANG Jing1 ZHANG Xiufang1 WANG Xinyuan2 　　1.Ultrasound Room， Tangshan People′s Hospital， Hebei Province， Tangshan 063000， China； 2.Endoscope Room， Hebei Province， Tangshan People′s Hospital， Hebei Province， Tangshan 063000， China 　　[Abstract] Objective To investigate the values of transvaginal ultrasound in the diagnosis of cervical lymph node metastasis. Methods The clinical data of 56 cases of cervical cancer diagnosed and treated in Tangshan People′s Hospital of Hebei Province from January 2014 to April 2017 were analyzed retrospectively. The results of operation and pathology were regarded as the gold standard. The conventional ultrasonic characteristics and the ultrasonic blood flow typing were recorded， and were to determine the effect of ultrasonic diagnosis. Results In the 56 patients， there were 38 patients were confirmed intra iliac lymph node metastasis by ultrasound， and the positive rate was 67.9%. In the patients with positive iliac lymph node metastasis （n = 38）， the lesions were more with mostly round， necrosis in the center and multiple invasion with extra capsular involvement， and the size of the lesions was significantly higher than that of patients with negative iliac lymph node metastasis （n = 18） （P 　　[Key words] Pelvic tumor； Cervical cancer；