应用MSCT、MRI检查对浸润性宫颈癌术前分期的临床诊断价值对比研究  

Comparison and Study on Diagnostic Accuracy of MSCT and MRI for Preoperative Clinical Staging of Invasive Cervical Cancer

作　　者：许华宇 王春凯 XU Hua-yu;WANG Chun-kai(Department of Imaging the Third People's Hospital of Liaoyang,Liaoyang 111000,LiaoningProvince,China)

机构地区：[1]辽阳市第三人民医院影像科,辽宁辽阳111000

出　　处：《中国CT和MRI杂志》2021年第12期127-129,共3页Chinese Journal of CT and MRI

摘　　要：目的旨在分析MSCT、MRI检查对于浸润性宫颈癌术前临床分期诊断符合率。方法收集本院2017年1月至2019年5月收治的76例浸润性宫颈癌患者的临床资料,患者均行MSCT及MRI检查,以病理学检查结果为参照,对比不同检查对浸润性宫颈癌术临床分期诊断符合率。结果MSCT检查对≤ⅠB1期、ⅠB2~ⅡA期、≥ⅡB期患者诊断符合率分别为47.36、67.74%、96.15%,总符合率为72.36%(55/76);MRI检查对≤ⅠB1期、ⅠB2~ⅡA期、≥ⅡB期患者诊断符合率分别为94.73、83.87%、96.15%,总符合率为90.78%,MRI检查对浸润性宫颈癌≤ⅠB1期、ⅠB2~ⅡA期诊断符合率及诊断总符合率明显高于MSCT(P<0.05)。结论MRI、MSCT检查均可有效显示浸润性宫颈癌典型影像学表现,MRI对浸润性宫颈癌术前临床分期诊断符合率优于MSCT。Objective To analyze the diagnostic accuracy of MSCT and MRI for preoperative clinical staging of invasive cervical cancer.Methods The clinical data of 76 patients with invasive cervical cancer admitted to our hospital from January 2017 to May 2019 were collected.All patients underwent MSCT and MRI.The pathological examination was used as a reference to compare the diagnostic accuracy of different examinations for clinical stage of invasive cervical cancer.Results The diagnostic accuracy of MSCT for patients in≤ⅠB1staging,ⅠB2~ⅡA staging,and≥ⅡB staging was 47.36,67.74%,and 96.15%,respectively,and the total accuracy was 72.36%(55/76),and the diagnostic accuracy of MRI for patients in≤ⅠB1 staging,ⅠB2~ⅡA staging,and≥ⅡB staging was 94.73,83.87%,and 96.15%,respectively,and the total accuracy was 90.78%.the diagnostic accuracy of MRI for patients in≤ⅠB1staging,ⅠB2~ⅡA staging,and≥ⅡB staging and the total accuracy of MRI were significantly higher than those of MSCT(P<0.05).Conclusion MRI and MSCT examinations both can effectively display the typical imaging features of invasive cervical cancer.The diagnostic accuracy of MRI for preoperative clinical staging of invasive cervical cancer is better than that of MSCT.

关 键 词：MSCT MRI检查 浸润性宫颈癌 术前临床分期 诊断符合率 

分 类 号：R445.3[医药卫生—影像医学与核医学] R711.74[医药卫生—诊断学]