摘要
目的探讨感染性宫颈炎患者的超声检查图像特点及临床诊断价值。方法选择2012年4月-2017年3月期间于医院妇科门诊就诊的感染性宫颈炎患者369例,行超声检查和常规妇科病原学检查,最终结果均经病理检查或手术证实;另选择50名健康受试者的经腹超声检查结果作为对照;分析比较超声检查结果与妇科检查结果。结果根据超声检查图像特征,急性宫颈炎41例占11.11%、慢性宫颈炎328例占88.89%,具有典型的图像表现;超声检查宫颈肥厚、宫颈囊肿和宫颈息肉的敏感性与妇科病原学检查结果比较差异有统计学意义(P<0.05);超声检查宫颈肥厚的特异性、阴性预测值与妇科病原学检查结果比较差异有统计学意义(P<0.05);而超声检查宫颈息肉和宫颈囊肿的阳性预测值与妇科病原学检查结果比较差异有统计学意义(P<0.05);宫颈糜烂超声检查结果与妇科扩阴检查结果的总符合率为87.82%。结论经腹超声可清晰显示宫颈情况,对诊断感染性宫颈炎具有较高的敏感性和特异性,值得临床推广。
OBJECTIVE To discuss the characteristics and clinical diagnostic value of ultrasonography in the diagnosis of infectious cervicitis.METHODS A total of 50 healthy volunteers and 369 patients with infectious cervicitis in the department of gynaecology from Apr.2012 to Mar.2017 were selected,and detected by ultrasound and general gynecologic etiology examination.The final results were confirmed by pathological examination or operation.The results of ultrasonography and gynecological examination were analyzed and compared.RESULTS As the results of ultrasound images,41 patients were with acute cervicitis and 328 patients were with chronic cervicitis,accounting for 11.11% and 88.89%,and they had the typical image characteristics.The sensibility of ultrasonography of cervical hypertrophy,cervical cysts,and cervical polyps had significant differences with those of general gynecologic etiology（P〈0.05）.The specificity of ultrasonography of cervical hypertrophy and the negtive predictive value had significant differences with those of general gynecologic etiology（P〈0.05）.Meanwhile,the positive predictive values of ultrasonography of cervical cysts and cervical polyps had significant differences with those of general gynecologic etiology（P〈0.05）.Besides,the coincidence rate of ultrasonography and gynecological enlargement examination of vagina was 87.82%.CONCLUSION Transabdominal ultrasound can clearly display the situation of cervix,and has high sensitivity and specificity for the diagnosis of infectious cervicitis,which is worthy of clinical promotion.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第24期5661-5664,5687,共5页
Chinese Journal of Nosocomiology
关键词
超声检查
感染性宫颈炎
妇科病原学检查
宫颈肥厚
宫颈糜烂
Ultrasonography
Infectious cervicitis
Gynecologic etiology examination
Cervical hypertrophy
Cervical erosion
