Objective To systematically review the clinical value of transvaginal ultrasound for diagnosis female cervical carcinoma. Methods To search the databases including CNKI、VIP、WangFang、PubMed、Web of Science and manually related Chinese literature to collect the diagnostic tests of transvaginal ultrasound compared with gold standard (pathological biopsy) in the diagnostic of cervical carcinoma.According the inclusion and exclusion to screen literature and extracted data,the quality of each selected study was evaluated by QUADAS.The Meta-Disc 1.4 software was used to conduct pooling on Sensitivity、specificity、Positive Likelihood Ratio、Negative Likelihood Ratio、Diagnostic Odds Ratio.Heterogeneity test was performed and the summary receiver operating characteristic curve was drawn for area under the curve(AUC). Results A total of 25 literatures involving 2333 patients were finally included.The results of Meta-analysisi:pooled SEN=0.90,[95%CI (0.88,0.91)]；pooled SPE=0.95,[95%CI (0.93,0.96)]；pooled +LR=10.88,[95%CI (5.47,21.63)]；pooled -LR 0.13,[95%CI (0.09,0.18)]；pooled DOR= 105.99,[95%CI (44.07,254.89)]；pooled AUC was 0.9590；Q_^* index was0.9031. Conclusion Transvaginal ultrasound has a high sensitivity (90%) and specificity (95%) in the clinical diagnosis of cervical cancer, which is of significant value for routine screening and clinical diagnosis.Due to the limitation of sample size and quality, the conclusions of this study need to be verified objectively by large sample size and high quality research.