磁共振间接淋巴造影在宫颈癌淋巴结转移诊断的价值  

Evaluation of indirect MR lymphography in diagnosis of lymph node metastasis in cervical carcinoma

作　　者：叶芬[1] 

机构地区：[1]湖北职业技术学院医学院,湖北孝感432100

出　　处：《中国医学装备》2015年第3期76-78,共3页China Medical Equipment

摘　　要：目的:评估磁共振(MR)间接淋巴系统造影对于诊断宫颈癌淋巴结转移的价值。方法:选取108例宫颈癌患者,进行MR间接淋巴系统造影,并对前哨淋巴结显影、盆腔淋巴管引流情况展开观察,随后对患者行全子宫切除+盆腔淋巴结清扫术,将手术前后结果进行对比。结果:实验结果显示,MR间接淋巴造影判断子宫颈癌患者有否淋巴转移准确率为96.30%,灵敏度为78.95%,与病理检查结果相比差异无统计学意义(t=0.89,P>0.05)。由此判定MR间接淋巴造影对于子宫颈癌淋巴结转移准确度预测率较高,在子宫颈癌术前诊断中具有重要作用。结论:对宫颈癌患者进行MR间接淋巴系统造影,可以有效显现盆腔引流区域淋巴管、淋巴结解剖形态,评价前哨淋巴结状态和诊断宫颈癌淋巴转移有效可行。Objective： To evaluate magnetic resonance（MR） indirect lymphography for lymph node metastasis of cervical cancer diagnosis value. Methods： One hundred and eight cases of the 2009-2013 hospital admission of patients with cervical cancer, magnetic resonance indirect lymphography for sentinel lymph node imaging, pelvic lymph drainage situation of observation, the patients underwent total hysterectomy and pelvic lymphadenectomy. Results： The experimental results show that interstitial magnetic resonance lymphography judgment patients with cervical cancer lymphmetastasis accuracy was 96.30%（104/108）, the sensitivity was 78.95%（15/19）, no significant difference with the pathological examination results（t=0.89, P0.05）. The determination of interstitial magnetic resonance lymphography for lymph node metastasis of uterine cervix cancer prediction accuracy rate is high,play an important role in the preoperative diagnosis of uterine cervical cancer. Conclusion： MR indirect lymphography for cervical cancer patients can appear pelvic draining lymph node anatomy, regional lymphatic, and evaluation of sentinel lymph node status and diagnosis of cervical cancer with lymph node metastasis or not is feasible and effective.

关 键 词：子宫颈癌 磁共振 间接淋巴造影 

分 类 号：R445.2[医药卫生—影像医学与核医学]