超声检查在感染性宫颈炎患者诊断中的应用研究

发布时间：2018-03-20 06:34

本文选题：超声检查　切入点：感染性宫颈炎　出处：《中华医院感染学杂志》2017年24期 　论文类型：期刊论文

【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(P0.05);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(P0.05);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(P0.05);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。
[Abstract]:Objective to investigate the characteristics and clinical diagnostic value of ultrasonography in patients with infectious cervicitis. Methods 369 cases of infectious cervicitis were selected from April 2012 to March 2017. Ultrasonic examination and routine gynecological etiology were performed, the final results were confirmed by pathology or surgery, and 50 healthy subjects were selected as control group. Results according to the image characteristics of ultrasonic examination, 41 cases of acute cervicitis accounted for 11.11%, 328 cases of chronic cervicitis accounted for 88.89 cases. The sensitivity of cervical cyst and cervical polyp was significantly different from that of gynecological etiology. The negative predictive value was significantly different from that of gynecological etiology, while the positive predictive value of cervical polyps and cervix cysts by ultrasound was significantly different from that of gynecological etiology, and there was significant difference between the positive predictive values of cervical polyps and cervix cysts and the results of gynecological etiology. The total coincidence rate between the results of ultrasonic examination and gynaecological examination was 87.82. Conclusion Transabdominal ultrasound can clearly show the cervical condition. It has high sensitivity and specificity in the diagnosis of infectious cervicitis.
【作者单位】：浙江萧山医院超声科;苏州大学附属第一医院介入科;浙江萧山医院放射科;
【分类号】：R445.1;R711.32

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