MRI弥散加权成像与多层螺旋CT在宫颈癌诊断中的对照分析  

The comparative analysis diagnosis of cervical cancer with diffusion-weighted imaging and multi-slice computed tomography

作　　者：王志成[1] 黄鹤[2] 

机构地区：[1]大连市中心医院放射科,辽宁116033 [2]大连市儿童医院

出　　处：《社区医学杂志》2015年第7期40-42,共3页Journal Of Community Medicine

摘　　要：目的探讨MRI弥散加权成像与多层螺旋CT(multi-slice computed tomography,MSCT)在宫颈癌诊断中的应用价值。方法选择2013年1月—2014年11月收治的宫颈癌患者96例作为研究对象。对所有患者进行MSCT及MRI检查,根据影像学结果进行诊断并判定病情分期,与病理实验结果进行比较,分析MRI在宫颈癌诊断及指导临床治疗中的应用价值。计数资料采用χ2检验,等级资料采用秩和检验,P<0.05为差异有统计学意义。结果 MRI检查准确诊断宫颈癌88例,准确率91.67%,MSCT准确诊断70例,准确率72.92%,差异有统计学意义(P<0.05)。MRI及病理检查对宫颈癌病理分期判断结果差异无统计学意义(P>0.05)。结论 MRI检查能够准确诊断宫颈癌,且可初步判定临床病理分期,为临床治疗方案的选择提供参考,值得临床推广应用。Objective To discuss the value of MRI diffusion weighted imaging and multi-slice CT（MSCT） in the diagnosis of cervical carcinoma.Methods Selected 96 cervical cancer patients from January 2013 to November 2014 for the study.All patients were given MSCT and MRI for diagnosis and staging of the disease based on radiographic findings and compared with pathologic analyzes.Measurement data was processed by chi-square test,ranked data was processed by rank sum test,P0.05 was considered statistically significant.Results MRI check the accuracy of the diagnosis of cervical carcinoma in 88 cases,the accuracy rate was91.67%,the MSCT accurately diagnosed 70 cases,the accuracy rate was 72.92%,the difference was statistically significant（P0.05）.MRI and pathological examination of cervical cancer pathological staging results were no significant differences（P0.05）.Conclusion MRI can accurately diagnose of cervical cancer and can determine the initial clinical pathological stage,provides the reference for the clinical treatment options,it is worthy of clinical application.

关 键 词：MRI弥散加权成像 宫颈癌 诊断分期 多层螺旋CT 

分 类 号：R445.2[医药卫生—影像医学与核医学]