MRI联合超声在诊断卵巢癌中的应用  

The Application of MRI Combined Ultrasound in the Diagnosis of Ovarian Cancer

作　　者：魏玮[1] 王海燕[2] WEI Wei;WANG Hai-yan(Department of Ultrasonic Medicine,Third AffiliatedHospital of Xinxiang Medical College,Xinxiang 453000,Henan Province,China)

机构地区：[1]新乡医学院第三附属医院超声医学科,河南新乡453000 [2]新乡医学院第一附属医院超声科,河南新乡453000

出　　处：《中国CT和MRI杂志》2018年第11期107-110,共4页Chinese Journal of CT and MRI

摘　　要：目的探讨磁共振(MRI)联合超声(US)在诊断卵巢癌中的应用价值。方法选取2015年1月-2017年8月医院妇科收治的78例卵巢癌患者为研究对象,均行盆腔MRI、US等影像学检查,以手术病理组织确诊,明确病理组织类型及临床分期,并以此为标准,分析MRI联合US诊断卵巢癌的效果。结果以手术病理为金标准,MRI联合US诊断卵巢癌的病理类型准确率为91.03%,明显高于MRI、US单独诊断的64.10%、60.27%,差异有统计学意义(P<0.05)。MRI联合US诊断卵巢癌的临床分期准确率为93.59%,明显高于MRI、US单独诊断的73.08%、71.79%,差异有统计学意义(P<0.05)。结论 MRI联合US可有效提高卵巢癌的诊断准确率,对病理类型及临床分期有突出的鉴别效果。Objective To investigate the value of magnetic resonance imaging(MRI)combined with ultrasound(US)in the diagnosis of ovarian cancer.Methods 78 patients with ovarian cancer who were admitted to the department of gynecological oncology of the hospital from January 2015 to August 2017 were selected as subjects.All patients underwent MRI and US examinations.The pathological type and clinical stages were made clear,and effects of MRI combined with US in the diagnosis of ovarian cancer were analyzed.Results The accuracy rate of MRI combined with US in the diagnosis of the pathological type of ovarian cancer(91.03%)was significantly higher than that of MRI and US(64.10%and 60.27%)with surgery and pathology as the golden standard(P<0.05).The accuracy rate of MRI combined with US in the diagnosis of clinical stage of ovarian cancer(93.59%)was also significantly higher than that of MRI and US(73.08%and 71.79%)(P<0.05).Conclusion MRI combined with US can effectively improve the diagnostic accuracy of ovarian cancer,with prominent effects in the differential diagnosis of pathological type and clinical stage.

关 键 词：MRI US 卵巢癌 诊断 

分 类 号：R737.31[医药卫生—肿瘤] R445.1[医药卫生—临床医学]