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目的探讨经阴道超声检查在宫颈癌闭孔淋巴结转移诊断中的价值。方法选择32例行广泛性子宫切除+盆腔淋巴清扫术的宫颈癌患者,术前采用经阴道超声检查闭孔淋巴结情况,记录淋巴结部位、数量及大小,与术中分离出的淋巴结及病理结果进行对照分析。结果 32例患者中,有27例经超声检查结果与手术病理相符,准确性为84.1%(27/32);存在闭孔淋巴结转移21例,超声诊断17例,漏诊4例,假阳性0例;无转移患者11例,超声诊断13例,误诊2例。超声诊断的特异性为84.6%(11/13),敏感性为100%。结论经阴道超声检查可以诊断宫颈癌闭孔淋巴结转移,对肿瘤临床分期及治疗方案的选择有应用价值。
Objective To investigate the value of transvaginal ultrasonography in diagnosing cervical lymph node metastasis of cervical cancer. Methods 32 cases of patients with cervical cancer who had undergone extensive hysterectomy and pelvic lymphadenectomy were examined by transvaginal ultrasonography. The location, number and size of lymph nodes were recorded. The lymph nodes and pathological findings were separated Control analysis. Results Among the 32 patients, 27 cases were confirmed by ultrasonography. The accuracy was 84.1% (27/32). There were 21 cases of obturator lymph node metastasis, 17 cases of ultrasonic diagnosis, 4 cases of missed diagnosis, 0 case of false positive 11 cases without metastasis, 13 cases with ultrasound diagnosis and 2 cases misdiagnosis. The specificity of ultrasound diagnosis was 84.6% (11/13) and the sensitivity was 100%. Conclusion Transvaginal ultrasonography can diagnose cervical lymph node metastasis of the closed cell, the clinical stage of the tumor and treatment options have application value.