Mazouni Chafika, Bretelle Florence, Blanc Karina, Heckenroth Hélène, Haddad Olivier, Agostini Aubert, Cravello Ludovic, Blanc Bernard, Gamerre Marc
Department of Gynecology and Obstetrics, Marseille Public Hospital System, Marseille, France.
J Ultrasound Med. 2005 Nov;24(11):1483-6. doi: 10.7863/jum.2005.24.11.1483.
The purpose of this study was to evaluate transvaginal sonographic cervical length before and after cervical conization for squamous intraepithelial lesions.
Between November 2002 and October 2004, all women undergoing conization by either cold-knife conization or a loop electrosurgical excision procedure for squamous intraepithelial lesions were prospectively enrolled in this study. Cervical length was measured by transvaginal sonography (TVS) before and after conization.
A total of 48 women were studied before and after a mean of 7 days after conization. Complete excision was achieved in 41 patients, and endocervical margins were involved in 7 patients. Mean TVS cervical length was significantly shorter after than before conization (mean +/- SD, 22.7 +/- 6.9 versus 26.7 +/- 8.1 mm; P < .001). The correlation coefficient between cone specimen length and postoperative length was r = 0.75 (P < .001). Mean TVS cervical lengths were 24.3 +/- 6.7 mm in the group of women who underwent a loop electrosurgical excision procedure and 20.7 +/- 9.4 mm in the group of women who underwent cold-knife conization (P = .13).
Transvaginal sonographic measurement of cervical length after conization is well correlated with cone specimen length.
本研究旨在评估宫颈锥切术治疗鳞状上皮内病变前后经阴道超声测量的宫颈长度。
2002年11月至2004年10月，所有因鳞状上皮内病变接受冷刀锥切术或环形电切术的女性均前瞻性纳入本研究。在锥切术前后通过经阴道超声（TVS）测量宫颈长度。
共对48名女性在锥切术后平均7天前后进行了研究。41例患者实现了完全切除，7例患者宫颈管切缘受累。锥切术后经阴道超声测量的宫颈平均长度明显短于术前（均值±标准差，22.7±6.9对26.7±8.1mm；P<.001）。锥切标本长度与术后长度之间的相关系数为r = 0.75（P<.001）。接受环形电切术的女性组经阴道超声测量的宫颈平均长度为24.3±6.7mm，接受冷刀锥切术的女性组为20.7±9.4mm（P = .13）。
锥切术后经阴道超声测量的宫颈长度与锥切标本长度密切相关。
