磁共振成像检查在宫颈癌的诊断及分期中的应用价值分析  

Application value of magnetic resonance imaging in diagnosis and staging of cervical cancer

作　　者：谭华伟 Tan Huawei(Pingdingshan Peolple′s Hospital No.1,Henan 467000,China)

机构地区：[1]河南省平顶山市第一人民医院

出　　处：《实用医学影像杂志》2020年第1期38-40,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨磁共振成像检查对宫颈癌患者的诊断及分期价值。方法回顾性分析2016年10月至2018年11月在我院接受治疗的73例疑似宫颈癌患者的临床资料,所有入选者均需接受磁共振成像检查,分析诊断效能以及分期结果。结果以病理组织活检结果作为金标准,磁共振成像对宫颈癌的诊断敏感度为96.6%,特异度为78.6%,准确度为93.2%,阳性预测值为95.0%,阴性预测值为84.6%;磁共振成像对宫颈癌Ⅰa期的诊断符合率为80.0%,Ⅰb期为75.0%,Ⅱa期为75.0%,Ⅱb期为72.7%,Ⅲa期为44.4%,Ⅲb期为50.0%,Ⅳ期为50.0%。结论磁共振成像为临床诊断宫颈癌患者的有效手段,具有良好的诊断效能,且可为临床分期提供有效依据。Objective To investigate the value of magnetic resonance imaging(MRI)in diagnosis and staging of cervical cancer.Methods The clinical data of 73 patients with suspected cervical cancer who treated in the hospital from October 2016 to November 2018 were retrospectively analyzed.All selected cases underwent MRI exam-ination,the diagnostic efficiency and staging results were analyzed.Results The results of pathological biopsy were taken as the gold standard,the diagnostic sensitivity,specificity,accuracy,positive predictive rate and negative predictive value of MRI were 96.6%,78.6%,93.2%,95.0%,84.6%,respectively;The diagnostic accordance rate of MRI inⅠa,Ⅰb,Ⅱa,Ⅱb,Ⅲa,Ⅲb,Ⅳ stage of cervical cancer were 80.0%,75.0%,75.0%,72.7%,44.4%,50.0%,50.0%,respectively.Conclusion MRI is an effective means for clinical diagnosis of cervical cancer patients,which has good diagnostic efficacy and can provide effective basis for clinical staging.

关 键 词：宫颈肿瘤 磁共振成像 肿瘤分期 诊断 计算机辅助 

分 类 号：R737.33[医药卫生—肿瘤] R445.2[医药卫生—临床医学]