经腹壁超声与MRI对宫颈癌分期的诊断价值分析  

Analysis on Diagnostic Value of Transabdominal Ultrasound and MRI for Staging of Cervical Cancer

作　　者：刘芳[1] 罗锦川 LIU Fang;LUO Jing-chuan(Department of Obstetrics and Gynecology,Dazhou Central Hospital,Dazhou 635000,Sichuan Province,China)

机构地区：[1]四川省达州市中心医院妇产科,四川达州635000 [2]福建省联勤保障部队第909医院医学影像科,福建漳州363000

出　　处：《中国CT和MRI杂志》2020年第8期125-128,共4页Chinese Journal of CT and MRI

基　　金：四川省卫生和计划生育委员会科研课题(150094)。

摘　　要：目的探讨经腹壁超声与MRI对宫颈癌分期的诊断价值。方法选取了我院收治的71例宫颈癌患者作为研究对象,分别采用经腹壁超声和MRI对所有研究对象进行检查,比较两种检查方法对宫颈癌分期与术后病理分期的符合率,分析研究对象超声及MRI图像特征。结果以术后病理检查结果为标准,经腹壁超声分期符合率为61.97%(44/71),MRI分期符合率为88.73%(63/71),明显高于前者(P<0.05)。结论经腹壁超声与MRI检查均可辅助诊断宫颈癌并对其进行分期判断,但MRI与病检分期的分期符合率高于经腹壁超声,对肿瘤的大小、形态、边界、浸润转移等情况的判断优于经腹壁超声,为临床确定治疗方案提供可靠资料,是一种值得推广的检查方法。Objective To evaluate the diagnostic value of transabdominal ultrasound and MRI for staging of cervical cancer.Methods A total of 71 patients with cervical cancer admitted to our hospital were selected as the study subjects.All subjects were examined by transabdominal ultrasound and MRI.The coincidence rates of the two methods for staging of cervical cancer and postoperative pathological staging were compared.The image characteristics in ultrasound and MRI of the subject were analyzed.Results According to the results of postoperative pathological examination,the coincidence rate of transabdominal ultrasound for staging was 61.97%(44/71),and the coincidence rate of MRI for staging was 88.73%(63/71),which was significantly higher than that of the former(P<0.05),and MRI was superior to transabdominal ultrasound in determining the size,shape,boundary,invasion and metastasis of the tumor.Conclusion Transabdominal ultrasound and MRI can assist in the diagnosis of cervical cancer and its judgment for staging,but the coincidence rate of MRI for pathological staging is higher than that of transabdominal ultrasound.

关 键 词：经腹壁超声 MRI 宫颈癌 肿瘤分期 

分 类 号：R445.2[医药卫生—影像医学与核医学] R737.3[医药卫生—诊断学]