磁共振检查对于子宫颈癌诊断分期的价值  

The value of magnetic resonance imaging on diagnose stage of cervical cancer

作　　者：姜红薇[1] 蒋世曦[1] 甘霖[1] 周琦[1] 

机构地区：[1]重庆市肿瘤研究所妇瘤科,重庆400030

出　　处：《成都医学院学报》2012年第1期108-109,112,共3页Journal of Chengdu Medical College

基　　金：中国高校医学期刊临床专项资金项目(NO11221521)

摘　　要：目的探讨MRI检查对于子宫颈癌临床诊断分期的价值。方法选取228例新发子宫颈癌患者进行盆腔MRI扫描,将MRI影像学分期结果与临床分期和术后病理检查结果进行对照。结果 MRI诊断Ⅰ期65例,Ⅱa期18例,Ⅱb期67例,Ⅲ期73例,Ⅳ期5例;临床分期Ⅰ期68例,Ⅱa期20例,Ⅱb期62例,Ⅲ期73例,Ⅳ期5例。经术后病理证实宫旁有侵犯者5例。MRI诊断准确率为100%,分期准确率为95.61%。结论利用MRI对子宫颈癌进行分期具有较高的准确性,可以为制定治疗计划及评估预后提供参考。Objective To explore the value of magnetic resonance imaging（MRI）examination for determining the stage of cervical cancer.Methods 228 patients with diagnosed cervical cancer newly underwent pelvic MRI scan.Results of tumor staging based on MRI image analysis,clinical evaluation and postoperative pathological examination were compared.Results Based on MRI image,65 cases were classified as stage Ⅰ,18 were in stage Ⅱa,67 cases were in stage Ⅱb,73 cases were in stage Ⅲ,5 cases were in stage Ⅳ.Based on clinical evaluation,68 cases were in stage Ⅰ,20 cases were in Ⅱa,62 cases were in stage Ⅱb,73 cases were in stage Ⅲ,5 cases were in stage Ⅳ.Postoperative pathology confirmed 5 cases with parametrical invasion.The accuracy of MRI diagnosis and staging were 100% and 95.61%,respectively.Conclusion MRI examination of uterine cervical cancer has a high accuracy of staging,which can facilitate formulation of treatment plan and prognosis.

关 键 词：子宫颈癌 分期诊断 MRI 

分 类 号：R730.4[医药卫生—肿瘤]