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目的探讨经阴道彩色多普勒超声(TVCDS)对宫颈病变临床诊断的应用价值。方法选取98例宫颈病变患者临床资料,记录并对比检查结果 ,分析TVCDS方案对诊断宫颈病变的准确性、特异性与敏感性。结果此次TVCDS检查成功率为100.0%;其中假阴性1例,鉴别诊断准确率为96.9%(95/98),敏感性为80.0%(4/5),特异性为97.8%(91/93),宫颈癌漏诊率为20.0%(1/5),宫颈息肉漏诊率为4.1%(2/49),宫颈肥大误诊率为3.7%(3/81)。两种检查方法比较差异无统计学意义(P>0.05)。结论临床可将经阴道彩色多普勒超声检查应用于疑似宫颈病变患者的诊断中,对降低早期诊断中误诊及漏诊率,提高诊断准确性有利。
Objective To investigate the value of transvaginal color Doppler ultrasound (TVCDS) in the clinical diagnosis of cervical lesions. Methods The clinical data of 98 patients with cervical lesions were selected, the results of the examinations were recorded and compared, and the accuracy, specificity and sensitivity of the TVCDS program in diagnosis of cervical lesions were analyzed. Results The success rate of TVCDS was 100.0%. One of them was false negative, the accuracy of differential diagnosis was 96.9% (95/98), the sensitivity was 80.0% (4/5) and the specificity was 97.8% (91/93) ), Misdiagnosis rate of cervical cancer was 20.0% (1/5), misdiagnosis rate of cervical polyps was 4.1% (2/49), misdiagnosis rate of cervical hypertrophy was 3.7% (3/81). There was no significant difference between the two methods (P> 0.05). Conclusion Transvaginal color Doppler ultrasonography can be used in the diagnosis of suspected cervical lesions in clinic, which can reduce the misdiagnosis and misdiagnosis rate in early diagnosis and improve the diagnostic accuracy.