16层螺旋CT在宫颈癌临床分期中的价值  

Value of 16--detector Row Helical CT in Clinical Stage of Cervical Carcinoma

作　　者：邱书珺[1] 陆晓兰[2] 蒋小平[2] 王家强[1] 孙海辉[1] 

机构地区：[1]武警上海总队医院放射科,上海201103 [2]武警上海总队医院妇科,上海201103

出　　处：《实用放射学杂志》2010年第7期990-992,1012,共4页Journal of Practical Radiology

摘　　要：目的 探讨16层螺旋CT在宫颈癌临床分期中的价值.方法 经宫颈刮片病理证实为宫颈癌患者51例,治疗前均行东芝AQUILION 16层螺旋CT盆腔平扫及增强.参照FIGO分期方法进行宫颈癌CT分期,并与临床分期进行比较.结果 螺旋CT扫描使26例宫颈癌患者临床分期改变,其中分期升级23例,降级3例.8例分期升级者治疗方案由手术根治性治疗改为姑息性治疗;2例分期降级者进行了根治性手术治疗,并与病理分期一致.除Ⅰ期外,CT扫描后宫颈癌分期诊断的准确率随着分期的升级而上升,其中Ⅱa期86.3%,Ⅱb期88.2%,Ⅲ期及以上100%.结论 螺旋CT是一种对宫颈癌较好的无创性分期诊断方法.Objective To investigate the potential value of 16--detector row helical CT in stage of cervical carcinoma. Methods A tatal of 51 patients with biopsy--proved cervical cancer underwent pelvic plain and contrast--enhanced CT scanning at TOSHIBA AQUILION 16--detector row helical CT scanner before treatment. The stage of uterine cervical carcinoma with CT was done based on FIGO and compared with clinical stage. Results The clinical stage of cervical carcinoma was changed in 26 patients because of 16 --detector row helical CT findings with upstaged in 23 patients and downstaged in 3 patients. 8 upstaged patients underwent palliative treatment and 2 downstaged patients underwent radical surgery, with the CT findings were concordant with the operative findings. Except for stage Ⅰ, the accurate rate of CT staging improved with advancement of clinical stage,of which, stage Ⅲ a was 86.3 %, stage Ⅱ b was 88.2% and stage Ⅲ was 100%. Conclusion 16--detector row helical CT is a valuable noninvasive way in stage of cer-vical carcinoma.

关 键 词：子宫 宫颈癌 体层摄影术 X线计算机 

分 类 号：R737.33[医药卫生—肿瘤] R814.42[医药卫生—临床医学]