CT与MRI对鼻咽癌局部侵犯临床诊断的敏感度、特异度、准确度分析  

Analysis of sensitivity,specificity and accuracy of CT and MRI in the clinical diagnosis of local invasion of nasopharyngeal carcinoma

作　　者：彭少华[1] 南燕[1] 王成伟[1] Peng Shaohua;Nan Yan;Wang Chengwei(The First Affiliated Hospital of Medical College of Shihezi University,Shihezi 832000,Xinjiang,China)

机构地区：[1]石河子大学医学院第一附属医院,新疆石河子市832000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2023年第3期59-62,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的研究CT与MRI对鼻咽癌局部侵犯临床诊断的敏感度、特异度、准确度。方法选取我科2020年1月--2021年12月收入的68例鼻咽癌病人,分别采用CT、MRI技术进行全面检查,以手术病理结果为参照组,分析CT、MRI用于鼻咽癌局部侵犯诊断的敏感度、特异度以及准确度差异。结果MRI的鼻咽部和颅底部侵犯检出敏感度、特异度以及准确度与CT相比明显更高,P<0.05;但CT在淋巴结转移诊断中的敏感度、特异度以及准确度与MRI相比均明显更高,P<0.05。结论在鼻咽癌局部侵犯诊断中,MRI的鼻咽癌、颅底部侵犯诊断效能更优,但CT的淋巴结转移诊断效能更优,二者各具优势,临床可依据病人的具体情况选择最佳的检查方式。Objective To study the sensitivity,specificity and accuracy of CT and MRI in the clinical diagnosis of local invasion of nasopharyngeal carcinoma.Methods 68 patients with nasopharyngeal carcinoma received in our department from January 2020 to December 2021 were comprehensively examined by CT and MRI.Taking the surgical and pathological results as the reference group,the differences in sensitivity,specificity and accuracy of CT and MRI in the diagnosis of local invasion of nasopharyngeal carcinoma were analyzed.Results The sensitivity,specificity and accuracy of MRI were significantly higher than those of CT(P<0.05);However,the sensitivity,specificity and accuracy of CT in the diagnosis of lymph node metastasis were significantly higher than those of MRI(P<0.05).Conclusion In the diagnosis of local invasion of nasopharyngeal carcinoma,MRI is more effective in the diagnosis of nasopharyngeal carcinoma and skull base invasion,but CT is more effective in the diagnosis of lymph node metastasis.They have their own advantages.The best examination method can be selected according to the specific situation of patients.

关 键 词：CT MRI 鼻咽癌 局部侵犯 敏感度 特异度 准确度 

分 类 号：R73[医药卫生—肿瘤]