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目的探讨经阴道彩色超声对宫颈癌诊断的临床价值。方法回顾性分析75例宫颈癌的临床分期、病理结果与声像图特征。结果23例早期宫颈癌无明显超声表现,其中7例血流信号略增多;53例中晚期宫颈癌经阴道彩色超声声像图表现具有特征性:宫颈增大,宫颈部低回声肿块,可向宫颈外浸润性生长,肿块内血流丰富等。结论经阴道彩色超声对中晚期宫颈癌病变范围、是否周围侵犯、肿块的血供等具有较高的诊断价值,在协助临床分期、制定治疗方案和放化疗前后疗效观察等方面有重要参考价值。
Objective To investigate the clinical value of transvaginal color ultrasound in the diagnosis of cervical cancer. Methods Retrospective analysis of 75 cases of cervical cancer clinical stage, pathological findings and sonographic features. Results Twenty-three cases of early cervical cancer showed no obvious sonographic manifestations, of which 7 cases had slightly increased blood flow signals. Transvaginal color sonography of 53 cases of advanced cervical cancer showed characteristic cervical enlargement and hypoechoic mass in the cervix, Invasive cervical growth, rich in blood flow within the tumor. Conclusion Transvaginal sonography has a high diagnostic value for the range of cervical cancer in the late stage, the surrounding invasion and the blood supply of the tumor. It has important reference value in assisting the clinical stage, making the treatment plan and observing the curative effect before and after radiotherapy and chemotherapy.