宫颈LEEP术后切缘阳性的MRI表现及临床评价  

MRI findings of patients with positive margins after LEEP

作　　者：谢洁林[1] 韩志刚[1] 田晓梅[1] 张国福[1] 张娣[1] XIE Jielin HAN Zhigang TIAN Xiaomei ZHANG Guofu ZHANG Di(Department of Radiology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200011, China)

机构地区：[1]复旦大学附属妇产科医院放射科,上海200011

出　　处：《肿瘤影像学》2017年第3期217-220,共4页Oncoradiology

摘　　要：目的:探讨MRI在宫颈LEEP术后切缘阳性患者中的应用价值。方法:选取85例经病理组织学证实的宫颈LEEP术后切缘阳性患者,经盆腔MRI扫描,回顾性分析其影像学表现,并与病理结果对照分析。结果:宫颈LEEP术后切缘阳性患者行子宫切除术后,病理证实仍有病变残留率为27.1%。与病理结果对比分析,MRI诊断的灵敏度为73.9%,特异度为87.1%,准确率为83.5%。结论:MRI诊断宫颈LEEP术后切缘阳性的准确率较高,对临床治疗方案的选择及随访复查具有较高的参考价值。Objective： To investigate the value of MRI in the diagnosis of positive margins after loop electrosurgical excision procedure （LEEP）. Methods： MRI findings of 85 cases with positive margins after LEEP were retrospectively analyzed and compared with the histopathological results. Results： The residual lesions were found in 27.1% of the patients with positive margins. The sensitivity, specificity and accuracy of MRI were 73.9%, 87.1% and 83.5%, respectively, in detecting residual lesions. Conclusion： MRI has a relatively high accuracy in evaluating the patients with positive margins after LEEP and is valuable for clinicians to determine the therapeutic strategy.

关 键 词：宫颈环形电切术 磁共振成像 宫颈上皮内瘤变 宫颈癌 

分 类 号：R445.2[医药卫生—影像医学与核医学]