CT、MRI及超声在宫颈癌诊断中的应用比较  

Application of CT, MRI, and Ultrasound in Diagnosising Cervical Cancer

作　　者：李建灵[1] 李鸣鹤 LI Jian-ling;LI Ming-He(MRI Room,the Cental Hospital of Nanyang City,Nanyang 473000,Henan Province,China;North Sichuan Medical College,Nanchong 637100,Sichuan Province,China)

机构地区：[1]河南省南阳市中心医院磁共振室,河南南阳473000 [2]川北医学院,四川南充637100

出　　处：《中国CT和MRI杂志》2021年第7期121-122,185,共3页Chinese Journal of CT and MRI

摘　　要：目的分析比较CT、MRI及超声在宫颈癌诊断中的应用效果。方法回顾性分析我院110例经术后病理学检查确诊为宫颈癌患者的临床资料,分析比较其术前CT、MRI及超声三种影像学检查分期与术后病理检查分期结果差异。结果 110例宫颈癌患者中,病理分期显示Ⅰa期3例,Ⅰb期37例,Ⅱa期27例,Ⅱb期19例,Ⅲa期13例,Ⅲb期7例,Ⅳa期2例,Ⅳb期2例。CT、MRI、超声分别分期诊断准确98例(89.09%)、106例(96.36%)和95例(86.36%);CT及超声分期诊断准确率比较,差异无统计学意义(P>0.05);MRI分期诊断准确率则明显高于CT及超声(P<0.05)。结论 CT、MRI及超声三种影像学检查对宫颈癌分期诊断均有较高价值,而MRI对分期诊断准确性更高。Objective To analyze and compare the application effects of computed tomography(CT),magnetic resonance imaging(MRI),and ultrasound in diagnosising cervical cancer.Methods The clinical data of 110 patients with cervical cancer diagnosed by postoperative pathology in our hospital were retrospectively analyzed.The results of preoperative CT,MRI,ultrasound staging,and postoperative pathological staging were analyzed and compared.Results Among 110 cases of patients with cervical cancer,pathological staging showed there were 3 cases in stageⅠa,37 cases in stageⅠb,27 cases in stageⅡa,19 cases in stageⅡb,13 cases in stageⅢa,7 cases in stageⅢa,2 cases in stageⅣa and 2 cases in stageⅣb.The number of accurate staging diagnosis of CT,MRI,and ultrasound was 98 cases(89.09%),106 cases(96.36%),and 95 cases(86.36%),respectively.There was no statistical difference in the accuracy of staging diagnosis by CT or ultrasound(P>0.05).The accuracy of staging diagnosis by MRI was significantly higher than that by CT and ultrasound(P<0.05).Conclusion CT,MRI,and ultrasound are of high value in the staging diagnosis of cervical cancer,while MRI has higher accuracy in the staging diagnosis.

关 键 词：宫颈癌 CT MRI 超声 病理分期 

分 类 号：R737.33[医药卫生—肿瘤] R445.3[医药卫生—临床医学]