国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (4): 335-338.

• 综述 • 上一篇    下一篇

超声在宫颈锥切术预后评估中的应用

李慧东，曲芃芃   

  1. 300100 天津市中心妇产科医院超声科（李慧东），妇科肿瘤科（曲芃芃）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-07-15 发布日期:2016-07-15
  • 通讯作者: 李慧东

Application of Ultrasound in Evaluating the Prognosis of Cervical Conization

LI Hui-dong，QU Peng-peng   

  1. Department of Ultrasonography（LI Hui-dong），Department of Gynecologic Oncology（QU Peng-peng），Tianjin Central Hospital of Obstetrics and Gynecology，Tianjin 300100，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-07-15 Online:2016-07-15
  • Contact: LI Hui-dong

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摘要： 近年随着宫颈筛查的日益普及，宫颈上皮内瘤样变（CIN）的发病愈来愈多，因而行宫颈锥切术的患者也逐渐增多，而其中许多患者尚有生育要求，所以锥切术后宫颈的愈合情况，以及宫颈锥切术是否增加未来不良妊娠结局都备受关注。以超声作为形态学研究方法，在严格遵守测量标准、降低误差的前提下，重点阐述超声对宫颈锥切术预后评估方面的应用。一方面对锥切术后宫颈组织的修复时间和修复程度做定量分析；另一方面探讨超声在锥切术后妊娠患者中动态监测宫颈的长度、形态等指标来预测不良妊娠的结局。

关键词: 超声检查, 宫颈上皮内瘤样病变, 子宫颈, 锥形切除术, 预后

Abstract: In recent years, more and more cervical intraepithelial neoplasia are diagnosed following the extensive cervical screening. The number of patients who need cervical conization is also gradually increased. It is predictable that many patients have fertility requirements. Cervical healing after conization, and whether or not to increase adverse outcomes of pregnancy, receives much concern. Ultrasound as a morphology research method can be used to evaluate the time and degree of cervical healing, and to measure the cervix length and shape, so as to predict adverse outcomes of pregnancy. In this paper, we reviewed the application of ultrasound in evaluating the prognosis of cervical conization, including methodological standard and quantitative analysis.

Key words: Ultrasonography, Cervical intraepithelial neoplasia, Cervix uteri, Conization, Prognosis