MRI检查在子宫颈癌分期中的应用

发布时间：2018-12-06 07:31

【摘要】：目的：通过对子宫颈癌患者术前MRI分期与术后病理分期结果的比较,来探讨MRI检查在诊断子宫颈癌临床分期中的应用价值。 方法：从大连医科大学附属第一医院2012年1月至2013年10月间收入的子宫颈癌患者中随机抽取60例,对临床资料完整的58例患者进行分析。所有患者均已经组织病理学检查确诊为子宫颈癌并首次治疗均选择手术治疗,对行手术治疗的58例患者进行统计学分析,并对其术前MRI分期结果与术后手术病理分期结果进行对比分析。 结果：根据MRI结果判断,58例患者中,ⅠA期0例,ⅠB期14例,ⅡA期27例,ⅡB期9例。经手术组织病理学检测I A期7例,ⅠB期15例,ⅡA期26例,ⅡB期10例。诊断符合率77.59%,ⅠA期子宫颈癌MRI无法诊断,ⅠB期MRI诊断准确率为93.33%,ⅡA期MRI诊断准确率为92.31%,ⅡB期MRI诊断准确率为70%； 本次研究显示MRI对于子宫颈癌子宫转移敏感度为89.47%,特异度为85.00%,准确率为87.93%,阳性预测值为91.89%； 本次研究显示MRI对于子宫颈癌宫旁转移敏感度为70%,特异度为95.83%,准确率为91.38%,阳性预测值为77.78%； 本次研究显示MRI对于子宫颈癌阴道转移敏感度为86.11%,特异度为90.91%,准确率为87.93%,阳性预测值为93.94%； 结论：1、ⅠA期子宫颈癌患者MRI成像无明显异常,无法通过MRI做出正确诊断。 2、MRI对ⅠB-ⅡB期子宫颈癌分期有较高的准确性,可作为子宫颈癌患者术前必须辅助检查之一。 3、MRI对判断子宫颈癌子宫、阴道、宫旁转移情况均有较高的敏感性和准确性。
[Abstract]:Objective: to evaluate the value of MRI in the diagnosis of cervical carcinoma by comparing the results of preoperative MRI staging with postoperative pathological staging. Methods: sixty patients with cervical cancer were randomly selected from the first affiliated Hospital of Dalian Medical University from January 2012 to October 2013. 58 patients with complete clinical data were analyzed. All the patients were diagnosed as cervical cancer by histopathological examination and were treated with surgical treatment for the first time. The results of preoperative MRI staging and postoperative pathological staging were compared and analyzed. Results: according to the results of MRI, there were 0 cases of stage 鈪，

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