宫颈癌40例超声诊断分析

目的:探讨超声检查在宫颈癌的临床应用价值。方法:回顾性分析40例宫颈癌的超声检查结果及血流动力学改变,其中,I期4例,II期12例,III期15例,IV期9例。结果:超声显示宫颈癌病例宫颈体积增大、回声不均匀,宫颈肿块、宫腔积液;宫体、阴道及宫旁浸润;盆腔脏器侵犯及淋巴结转移。34例可探及肿瘤周边或瘤体内高速低阻型肿瘤血流信号。结论:超声是浸润型宫颈癌诊治的一种简单有效的检查方法。宫颈癌确诊主要依赖于细胞学和组织学检查,超声检查的目的主要是观察肿瘤的浸润和转移情况,协助临床分期、指导治疗和观察疗效。

The Clinical Applications of Ultrasonography in the Diagnosis of Cervical Carcinoma

Objective:To study the clinical applications of ultrasonography in the diagnosis of cervical carcinoma.Methods: 40 patients suffered from cervical carcinoma were examined with ultrasonography.Among them,4 cases were stage I,12 cases stage II,15 cases stage III and 9 cases stage IV.Results: The ultrasonic characteristics of invasive cervical carcinoma were enlarged cervical size,irregular cervical shape and cervical mass.The other findings were uterus,vaginal and para-uterine invasion;pelvic visera invasorn and metastasis by lymph oid nodes.Most of the tumors showed blood flow features of high velocity and low resistant.Conclusion: The ultrasonography was a simple and effective method in the diagnosis of cervical carcinoma.Although the final diagnosis of cervical carcinoma was depended on cytology and pathology,ultrasonography was helpful in the clinical stage,deciding treatment strategy and monitoring treatment responses.