多层螺旋CT在宫颈癌FIGO分期及盆腔淋巴结转移诊断中的应用研究  

Application of multi-slice spiral CT in the diagnosis of cervical cancer FIGO staging and pelvic lymph node metastasis

作　　者：潘丹丹 吴磊 冯爱平 PAN Dan-dan;WU Lei;FENG Ai-ping(Department of Radiology,Yichang Maternal and Child Health Hospital,Yichang Hubei 443000,China;Department of Radiology,People’s Hospital of Zhijiang City,Zhijiang Hubei 443200,China)

机构地区：[1]宜昌市妇幼保健院放射科,湖北宜昌443000 [2]枝江市人民医院放射科,湖北枝江443200

出　　处：《中国临床医学影像杂志》2024年第5期347-350,359,共5页Journal of China Clinic Medical Imaging

基　　金：湖北省卫生健康委2021~2022年度指导性项目(编号:WJ2021F013)。

摘　　要：目的:分析多层螺旋CT在宫颈癌FIGO分期及盆腔淋巴结转移诊断中的应用价值。方法:选择2019年12月—2022年12月收治的136例宫颈癌患者作为研究对象,采用64排CT仪进行扫描检查;以手术病理结果作为金标准,绘制受试者工作特征(ROC)曲线对CT扫描评估宫颈癌FIGO分期及盆腔淋巴结转移的诊断价值,依照ROC曲线下面积(AUC)对诊断结果进行评估。结果:利用CT扫描检查诊断评估FIGO分期时Ⅰ~Ⅱ期60例,Ⅲ~Ⅳ期76例,利用CT扫描检查诊断评估盆腔淋巴结转移时未转移69例,转移67例;利用CT扫描方法诊断评估FIGO分期及盆腔淋巴结转移的敏感度、特异度及准确率均高于90%;CT扫描方法诊断评估FIGO分期的AUC为0.951,高于0.9,具有较高的临床诊断价值;CT扫描方法诊断评估盆腔淋巴结转移的AUC为0.933,高于0.9,具有较高的临床诊断价值。结论:多层螺旋CT在宫颈癌诊断和评估FIGO分期及盆腔淋巴结转移时AUC均>0.9,具有较高的应用价值。Objective:To analyze the application value of multi-slice spiral CT in the FIGO staging of cervical cancer and the diagnosis of pelvic lymph node metastasis.Methods:A total of 136 patients with cervical cancer who were treated between December 2019 and December 2022 were selected as the research objects,and were scanned by 64-slice CT,the receiver operating characteristic(ROC)curve was drawn with the surgical pathological results as the gold standard.The diagnostic value of CT scan in evaluating the FIGO staging of cervical cancer and pelvic lymph node metastasis was evaluated according to the area under the ROC curve(AUC).Results:CT scanning was used to diagnose and evaluate FIGO staging in 60 cases from stageⅠtoⅡ,and 76 cases from stageⅢtoⅣ.When using CT scan to diagnose and evaluate pelvic lymph node metastasis,there were 69 cases without metastasis and 67 cases with metastasis.The sensitivity,specificity and accuracy of using CT scanning methods to diagnose and evaluate FIGO staging and pelvic lymph node metastasis were all higher than 90%,the AUC of CT scanning method for diagnosing and evaluating FIGO staging was 0.951,which was higher than 0.9,and has high clinical diagnostic value.The AUC of CT scanning methods for diagnosing and evaluating pelvic lymph node metastasis was 0.933,which was higher than 0.9,and had high clinical diagnostic value.Conclusion:The AUC of multi-slice spiral CT in the diagnosis of cervical cancer and the evaluation of FIGO staging and pelvic lymph node metastasis are all greater than 0.9,which has a high application value.

关 键 词：宫颈肿瘤 淋巴转移 体层摄影术 螺旋计算机 

分 类 号：R737.33[医药卫生—肿瘤] R814.42[医药卫生—临床医学]