卵巢癌的CT MRI诊断价值比较  

Comparison of the Value of CT and MRI in the Diagnosis of Ovarian Cancer

作　　者：毛卫霞[1] 王永宏[1] 

机构地区：[1]陕西省榆林市第二医院CT室,陕西榆林719000

出　　处：《河北医学》2017年第11期1795-1798,共4页Hebei Medicine

基　　金：陕西省卫生厅科研基金项目,(编号:2012JM30579)

摘　　要：目的:探讨卵巢癌的CT、MRI诊断价值。方法:将我院收治的90例卵巢癌患者为研究对象,患者术前均行CT及MRI检查,检查后结合手术病理结果进行对照分析,比较CT及MRI对卵巢癌诊断差异。结果:参照术后病理结果,MRI组诊断卵巢癌的准确率91.11%较CT组80.00%明显高(P<0.05);且MRI组对卵巢癌患者病理分期准确诊断率88.89%较CT组67.78%明显高,差异有统计学意义(P<0.05);术后3个月通过复诊及电话形式对纳入研究的90例患者进行随访显示,共78例患者存在复发及转移,而MRI组对卵巢癌患者复发转移准备诊断率及敏感度较CT组明显高(P<0.05);影像学图像分析提示MRI对卵巢癌患者病灶显示细节较CT更具优势。结论:CT、MRI在卵巢癌的诊断中各具优势,而MRI在卵巢癌分期诊断及复发转移诊断中的准确率较CT更具优势,相较CT而言,更具临床推广价值。Objective: To investigate the value of CT and MRI in the diagnosis of ovarian cancer. Methods: 90 cases of ovarian cancer patients in our hospital were studied. All patients were examined by CT and MRI before operation. The results of operation and pathology were compared and analyzed. The difference of CT and MRI in diagnosis of ovarian cancer was compared. Results: With reference to the postoperative pathological findings,the accuracy rates of MRI in the diagnosis of ovarian cancer and pathological stage were higher than CT( 91.11% and 88.89% vs 80.00% and 67.78%)( P < 0.05). Follow-up showed that among 90 patients in the study,a total of 78 patients had recurrence and metastasis. The diagnostic rate and sensitivity of MRI in the diagnosis recurrence and metastasis were significantly higher than CT( P < 0.05). Image analysis showed that MRI had more advantages than CT in displaying lesions of ovarian cancer. Conclusion: Both of CT and MRI have advantages in the diagnosis of ovarian cancer,the accuracy rates of MRI in the diagnosis of ovarian cancer,recurrence and metastasis are higher than CT. Therefore,it is more valuable than CT.

关 键 词：卵巢癌 CT MRI 诊断价值 

分 类 号：R445.2[医药卫生—影像医学与核医学] R730.44[医药卫生—诊断学] R737.31[医药卫生—临床医学]