多层螺旋CT检查在宫颈癌淋巴结转移诊断中的应用价值分析  

The application of multi- slice spiral CT in the diagnosis of cervical carcinoma lymph node metastasis

作　　者：曹彭钢[1] 胡文军[1] 黄奕梅[1] 

机构地区：[1]广东省东莞市太平人民医院影像科,523900

出　　处：《齐齐哈尔医学院学报》2014年第9期1291-1292,共2页Journal of Qiqihar Medical University

摘　　要：目的评价多层螺旋CT检查在宫颈癌淋巴结转移诊断中的应用价值。方法选取2013年1—12月我院收治的确诊为宫颈癌有淋巴结转移的患者61例,术前1周进行上、中、下腹和盆腔CT检查,以术后病理检查结果为金标准,两组检查结果进行比对分析,计算CT检查的灵敏度与特异度。结果 CT检查阳性为28例,阴性为33例,病理检查阳性为25例,阴性为36例,CT检查灵敏度为88.0%,特异度为83.3%,阳性预测值为78.6%,阴性预测值为90.9%,约登系数为69.5%,Kappa值为0.6998,CT检查与病理学检查一致性较高,有统计学意义(P<0.05)。结论多层螺旋CT检查在宫颈癌淋巴结转移诊断中的应用价值高,能基本准确判断淋巴结转移情况,与后期病理检查一致性高,值得在临床上予以推广。Objective To evaluate the application value of multilayer spiral CT in diagnosing cervical carcinoma lymph node metastasis. Methods 61 patients who were diagnosed as cervical cancer and secondary with lymph node metastasis during January 2013 and December 2013 in our hospital were enrolled in this study. They received CT check one week before surgery at upper/middle/lower abdomen and pelvic, and the diagnosis depend on pathological findings finally, compared the results of CT and pathology, calculated sensitivity and specificity of CT. Results CT examination showed that 28 cases positive in cervical carcinoma, 33 cases negative in cervical carcinoma. For pathological examination, 25 cases were positive in cervical carcinoma, 36 cases negative in cervical carcinoma. Sensitivity of CT examination was 88.0% , and specificity was 83.3% , positive predictive value was78.6%, negative predictive value was 90.9% , Youden coefficient was 69.5% , Kappa value was O. 6998. The consistency of CT examination and pathological examination was high （P 〈 0. 05 ）. Conclusions Spiral CT examination can show most of the cervical carcinoma lymph node metastasis, and highly accordance with pathological examination, it is worth to be promoted in clinical practice.

关 键 词：多层螺旋CT 宫颈癌淋巴结转移 病理检查 

分 类 号：R739.91[医药卫生—肿瘤]