常规CT、MRI检查诊断子宫恶性肿瘤的效果评价  

Effectiveness Evaluation of Conventional CT and MRI in the Diagnosis of Uterine Malignant Tumor

作　　者：娄立志[1] 刘红玲[1] 任锦程 

机构地区：[1]安丘市人民医院CT室,山东安丘262100

出　　处：《中外医疗》2017年第23期188-190,共3页China & Foreign Medical Treatment

摘　　要：目的探讨常规CT、MRI对子宫恶性肿瘤的临床诊断价值。方法方便收集该院2016年1—10月收治的60例可疑子宫恶性肿瘤患者,双盲情况下均接受常规CT和MRI检查,以手术和病理学结果为金标准,观察2种影像检查手段诊断对子宫恶性肿瘤的诊断准确度、灵敏度、特异度和分期准确率效果。结果手术及病理确诊45例子宫恶性肿瘤患者,MRI、CT诊断准确度、灵敏度相较差异无统计学意义(P>0.05),但MRI诊断特异度93.3%(14/15)高于CT诊断60.0%(9/15),差异有统计学意义(P<0.05);手术病理分期结果为Ib期9例,II期17例,III期14例,IVa期5例,MRI、CT分期诊断准确度分别为84.4%(38/45)、75.6%(35/45),二者相较差异无统计学意义(P>0.05)。结论 MRI、CT均是临床诊断子宫恶性肿瘤的重要影像手段,准确度、灵敏度高,能进行准确的病理分期,但MRI诊断特异度优于CT,不易被误诊,可作为临床诊断的首选方法 。Objective This paper tries to explore the clinical diagnosis value of the conventional CT and MRI uterine malignant tumors. Methods 60 cases of suspected malignant tumor patients from January to October 2016 were convenient collected, double-blind cases all received conventional CT and MRI test, regarding surgical and pathological results as the gold standard, the accuracy, sensitivity, specificity and stage accuracy of two kinds of imaging methods in the diagnosis of uterine malignant tumors were observedobserve two imaging methods for uterine malignant tumor diagnosis effect. Results The surgery and pathology confirmed that 45 patients were with malignant tumor, there was no statistical difference in MRI,CT diagnostic accuracy, sensitivity（P〉0.05）, but the specificity of MRI was 93.3%（14/15）, higher than that of CT diagnosis of 60.0%（9/15）, the difference was statistically significant（P〈0.05）; Surgical pathological staging results were that 9 cases of phase Ib, 17 cases of phase II, 14 cases of phase III, 5 cases of phase IVa, the diagnosis accuracy of MRI and CT staging was 84.4%（38/45）, 75.6%（35/45）, the difference was not statistical significant（P〉0.05）. Conclusion MRI and CT are important imaging method in clinical diagnosis of uterine tumor, with high accuracy and sensitivity, can implement accurately pathological staging, but the specificity of MRI diagnosis is superior to CT with less misdiagnosis, and it can be used as the preferred method of clinical diagnosis.

关 键 词：子宫恶性肿瘤 CT MRI 诊断效果 

分 类 号：R737[医药卫生—肿瘤]