磁共振联合经阴道超声对宫颈癌患者临床分期的诊断价值  

Diagnostic value of magnetic resonance combined with transvaginal ultrasound in clinical staging of cervical cancer

作　　者：戴琳 陈苏江[2] Dai Lin;Chen Sujiang(Jiangxi Maternal and Child Health Hospital,Nanchang,Jiangxi 330000,China;Jiangxi Provincial Children's Hospital,Nanchang,Jiangxi 330038,China)

机构地区：[1]江西省妇幼保健院,江西南昌330000 [2]江西省儿童医院,江西南昌330038

出　　处：《首都食品与医药》2024年第4期75-77,共3页Capital Food Medicine

摘　　要：目的 探究磁共振联合经阴道超声对宫颈癌患者临床分期的诊断价值.方法 选取2020年1月-2021年12月于江西省妇幼保健院经手术病理学检查确诊的65例宫颈癌患者为研究对象,患者入院时均接受磁共振、经阴道超声检查,以手术病理学检查结果作为金标准,分析磁共振、经阴道超声单独及联合诊断宫颈癌患者临床分期的符合率,及与病理学检查结果一致性.结果 以病理学结果为依据,磁共振、经阴道超声单独及联合诊断宫颈癌患者临床分期的总符合率分别为69.23%、70.77%、89.23%;磁共振联合经阴道超声诊断宫颈癌患者临床分期总符合率高于二者单独检查,差异有统计学意义(P<0.05).磁共振、经阴道超声诊断宫颈癌患者临床分期与病理学结果具有很高的一致性(Kappa=0.864,P<0.05);二者单独检查与病理学结果具有较高的一致性(Kappa=0.613、0.630,P均<0.05).结论 磁共振联合经阴道超声诊断宫颈癌患者临床分期符合率较好,且与病理学结果具有很高的一致性.Objective To explore the diagnostic value of magnetic resonance combined with transvaginal ultrasound in the clinical staging of cervical cancer.Methods 65 patients with cervical cancer diagnosed by surgical pathology examination in our hospital from January 2020 to December 2021 were selected as the study objects.All patients received magnetic resonance and transvaginal ultrasound examination on admission.The results of surgical pathology examination were used as the gold standard to analyze the coincidence rate of clinical stage diagnosis of cervical cancer patients by magnetic resonance and transvaginal ultrasound alone or in combination.The results were consistent with the pathological examination.Results According to the pathological results,the total coincidence rates of MRI,transvaginal ultrasound and combined diagnosis of cervical cancer were 69.23%,70.77%and 89.23%,respectively.The total coincidence rate of clinical stage in patients diagnosed with cervical cancer by magnetic resonance combined with transvaginal ultrasound was higher than that by single examination,and the difference was statistically significant(P<0.05).The clinical stage and pathological results of cervical cancer patients diagnosed by magnetic resonance and transvaginal ultrasonography had excellent consistency(Kappa=0.864,P<0.05).The results of individual examination were in good agreement with the pathological results(Kappa=0.613,0.630,P<0.05).Conclusion MRI combined with transvaginal ultrasound diagnosis of cervical cancer patients has a high clinical stage coincidence rate,and has a good agreement with the pathological results.

关 键 词：宫颈癌 临床分期 磁共振 经阴道超声 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]