CT与MRI判断宫颈癌淋巴结转移的临床价值比较  

Comparison of clinical value of CT and MRI in evaluating lymph node metastasis of cervical cancer

作　　者：翟靓鑫 谌伦华[2] 张娟[2] 杨凡 鲜标 张燕萍 李柯星 ZHAI Liangxin;SHEN Lunhua;ZHANG Juan;YANG Fan;XIAN Biao;ZHANG Yanpin;LI Kexing(Department of Clinical Medicine,North Sichuan Medical College,Nanchong 637000,Sichuan,China;Department of Gynecology and Obstetrics,The Affiliated Hospitalof North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院临床医学系,四川南充637000 [2]川北医学院附属医院妇产科,四川南充637000

出　　处：《西部医学》2025年第4期604-607,共4页Medical Journal of West China

基　　金：南充市-市校合作专项课题(18SXHZ0126)。

摘　　要：目的对比分析CT与MRI检查用于判断宫颈癌淋巴结转移的临床价值。方法纳入2020年9月—2023年8月于川北医学院附属医院术前进行CT和(或)MRI检查、术中切除盆腔淋巴结和(或)腹主动脉旁淋巴结的宫颈癌患者284例。对比分析CT与MRI检查、临床分期、手术病理分期等资料,比较CT与MRI判断淋巴结转移的临床价值。结果本研究病例淋巴结转移率为11.27%(32/284)。术前CT与MRI提示淋巴结增大100例,其中18例有淋巴结转移。CT检查淋巴结增大20例,仅1例淋巴结有转移;MRI检查淋巴结增大80例,其中17例有淋巴结转移。结论在CT与MRI检查中,单凭淋巴结大小判断宫颈癌淋巴结转移的准确性较低,以淋巴结短径≥5 mm作为判断标准,MRI具有相对较好的诊断价值。Objective To compare and analyze the clinical value of CT and MRI in diagnosing lymph node metastasis of cervical cancer.Methods 284 patients with cervical cancer who completed preoperative CT or MRI examination and intraoperative resection of pelvic lymph node±paraaortic lymph node were included.The data of CT and MRI examination,clinical stage and surgical pathological stage were compared and analyzed to compare the clinical value of CT and MRI in evaluating lymph node metastasis.Results The lymph node metastasis rate was 11.27%.Preoperative CT and MRI showed lymph node enlargement in 100 cases,of which 18 cases had lymph node metastasis.In CT group,20 cases had enlarged lymph nodes,only 1 case had lymph node metastasis;In MRI group,80 patients had enlarged lymph nodes,17 of which had lymph node metastasis.Conclusion In CT and MRI examination,the accuracy of judging cervical cancer with lymph node metastasis solely by lymph node size is low.If the short diameter of 5mm is used as the criterion,MRI has relatively good diagnostic value.

关 键 词：宫颈癌 淋巴结转移 电子计算机断层扫描 磁共振成像 

分 类 号：R711.74[医药卫生—妇产科学]