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目的:探究超声对于宫颈癌术前分期诊断及淋巴结转移评估的价值。方法:抽取2019年9月至2021年9月濮阳市人民医院收治的宫颈癌患者67例,均于手术前接受超声检查,术后行病理活组织检查,分析超声对宫颈癌术前分期的诊断价值及对术前淋巴结转移的评估价值,比较不同术前分期、有无淋巴结转移者的超声特征。结果:以宫颈癌病理检查结果作为金标准,超声诊断术前Ⅰ、Ⅱ、Ⅲ、Ⅳ期的灵敏度分别为95.45%(21/22)、69.57%(16/23)、66.67%(12/18)、75.00%(3/4),特异度分别为84.44%(38/45)、90.91%(40/44)、93.88%(46/49)、98.41%(62/63),准确度分别为88.06%(59/67)、83.58%(56/67)、86.57%(58/67)、97.01%(65/67);Ⅰ期+Ⅱ期者形态规则、边界清晰、等回声或高回声、血流信号不丰富等超声信号比例高于Ⅲ期+Ⅳ期者(n P<0.05)。以宫颈癌病理检查结果为金标准,术前应用超声评估淋巴结转移,灵敏度、特异度以及准确率分别为83.33%(30/36)、93.55%(29/31)、88.06%(59/67);淋巴结转移者病灶形态规则、边界清晰、等回声或高回声、血流信号不丰富等超声信号比例低于淋巴结无转移者(n P<0.05)。n 结论:超声是评估宫颈癌患者病情的有效依据,其对患者术前分期诊断以及淋巴结转移评估具有较高价值。“,”Objective:To investigate the value of ultrasound in preoperative staging diagnosis and assessment of lymph node metastasis of cervical cancer.Methods:A total of 67 patients with cervical cancer who were admitted to Puyang People’s Hospital from September 2019 to September 2021 were selected. All selected patients underwent ultrasonography before surgery and pathological biopsy after surgery. The diagnostic value of ultrasound in preoperative staging of cervical cancer and the evaluation of preoperative lymph node metastasis were analyzed. And the ultrasonographic features of patients with different preoperative stages and with or without lymph node metastasis were compared.Results:Taking the results of pathological examination of cervical cancer as the gold standard, the sensitivity of ultrasound diagnosis of preoperative stage Ⅰ, Ⅱ, Ⅲ and Ⅳ were 95.45%(21/22), 69.57%(16/23), 66.67%(12/18) and 75.00%(3/4), respectively; the specificity of them were 84.44%(38/45), 90.91%(40/44), 93.88%(46/49) and 98.41%(62/63), respectively; and the accuracy of them were 88.06%(59/67), 83.58%(56/67), 86.57%(58/67), 97.01%(65/67), respectively; the proportions of ultrasound signals, such as regular morphology, clear boundary, iso-echoic or hyperechoic, and few blood flow signals in stage Ⅰand stage Ⅱ patients were higher than those in stage Ⅲ and stage Ⅳ patients (n P<0.05). Taking the results of cervical cancer pathological examination as the gold standard, the sensitivity, specificity and accuracy of preoperative ultrasound in evaluating lymph node metastasis were 83.33%(30/36), 93.55%(29/31) and 88.06%(59/67), respectively; the proportions of ultrasound signals, such as regular morphology, clear boundary, iso-echoic or hyperechoic, and few blood flow signal, in patients with lymph node metastasis were lower than those in patients without lymph node metastasis (n P<0.05).n Conclusions:Ultrasound is an effective method for condition evaluation of patients with cervical cancer. It is of high value in preoperative staging diagnosis and lymph node metastasis assessment.