超声联合磁共振对卵巢癌的诊断价值

发布时间：2018-04-23 13:38

本文选题：卵巢癌 + 联合　；参考：《青海大学》2017年硕士论文

【摘要】：目的:探讨超声检查、磁共振成像检查及两者联合三种方法对卵巢癌的诊断价值及对临床分期的指导作用,达到提高患者生存质量及生存率的目的。方法:选择青海大学附属医院2015年3月至2016年12月经病理手术确诊的84例卵巢癌患者,患者均于术前进行MRI和US检测,收集其US结果、MRI结果、US*MRI联合结果,经病理检查验证,分别计算US、MRI、US*MRI分别诊断卵巢癌、卵巢癌分期的符合率,利用SPSS21.0统计学软件分析结果。结果:(1)US*MRI联合诊断、MRI诊断、US诊断卵巢癌符合率分别为94.0%、81.0%、64.3%,三者比较差别有统计学意义(P0.05),两两比较差别也有统计学意义(P0.017)。(2)US*MRI联合诊断、MRI诊断、US诊断卵巢癌分期总符合率分别为93.3%、76%、56.0%,三者比较差别有统计学意义(P0.05),两两比较差别也有统计学意义(P0.017)。针对每一期三种方法比较,第II、IV期三者比较差别有统计学意义(P0.05),第IV期两两比较差别有统计学意义(P0.017)。结论:联合US与MRI诊断卵巢癌优于US、MRI单独检查,对卵巢癌临床分期提供一定的参考价值。
[Abstract]:Objective: to investigate the diagnostic value and clinical staging of ovarian cancer by ultrasound, magnetic resonance imaging (MRI) and combination of the two methods in order to improve the quality of life and survival rate. Methods: 84 patients with ovarian cancer diagnosed by pathological surgery from March 2015 to December 2016 were selected from the affiliated Hospital of Qinghai University. All the patients were examined with MRI and US before operation. The coincidence rate of MRI in the diagnosis of ovarian cancer and stage of ovarian cancer was calculated, and the results were analyzed by SPSS21.0 software. Results the coincidence rates of MRI and MRI in diagnosis of ovarian carcinoma were 94.0 and 81.0 and 64.3, respectively. The difference among the three was statistically significant (P 0.05). There was also a significant difference between the two groups in the diagnosis of ovarian carcinoma by MRI combined with MRI and the total coincidence rate of US in the diagnosis of ovarian carcinoma. The difference among the three groups was statistically significant (P0.05), and the difference between the two groups was also statistically significant (P0.017). According to the comparison of the three methods in each phase, the differences among the three stages were statistically significant (P 0.05), while in the fourth stage the differences were statistically significant (P 0.017). Conclusion: the combination of US and MRI is superior to MRI in the diagnosis of ovarian cancer and provides some reference value for clinical staging of ovarian cancer.
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R737.31;R445

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