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子宫内膜癌的CT与MRI诊断价值研究

作者:曾 茗 张海燕 宋 鹏

所属单位:陕西省延安市人民医院CT诊断科(陕西 延安 716000)

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摘要

目的探析CT检查与MRI检查在 子宫内膜癌临床分期中的诊断价值。方 法 选择我院2013年1月-2014年12月经手 术病理确诊的63例子宫内膜癌患者作为 研究对象,所有患者均行CT与MRI检查。 比较CT、MRI及CT联合MRI的诊断准确 率。结果 CT联合MRI诊断准确率最高, 达87.3%,高于CT与MRI单独诊断,比较 均有统计学意义(P<0.05),CT与MRI单 独诊断的确诊率比较无统计学意义(P> 0.05)。结论 与单独CT及MRI检查相比, CT联合MRI更利于明确病变对周围器官 侵犯程度,清晰显示病灶大小、形态及 范围,所获取信息更全面,利于分期确 诊,进而为确保治疗方案科学性提供参 考信息,改善患者预后,临床应用与借 鉴价值较大。

Objective To explore the diagnostic value of CT and MRI in the clinical staging of endometrial carcinoma. Methods 63 cases of patients with endometrial carcinoma confirmed by surgery and histopathology in the hospital from January 2013 to December 2014 were selected as the research object and all of the patients received CT and MRI examination. The diagnostic accuracy of CT, MRI and CT combined with MRI was compared. Results The diagnostic accuracy of CT combined with MRI was the highest, reaching 87.3% which was higher than that of CT and MRI separate diagnosis and the comparison was statistically significant (P<0.05). The comparison of the accurate diagnosis rate of CT and MRI alone diagnosis was of no significant difference (P> 0.05). Conclusion Compared to CT and MRI alone diagnosis, CT combined with MRI is more conducive to make invasion degree of lesions to the surrounding organs clear and they can clearly show the size, the shape and the range of the lesions and access to more comprehensive information, which facilitates the staging confirmed diagnosis, then provide reference information for ensuring the scientificalness of the treatment programs, improve the prognosis of the patients, which is of greater clinical application and reference value.

【关键词】子宫内膜癌;CT;MRI;临床分期

【中图分类号】R737.33;R445.2;R445.3

【文献标识码】A

【DOI】10.3969/j.issn.1672-5131.2015.09.029

前言

子宫内膜癌也被称为子宫体癌,主要指子宫内膜所发生上皮性 癌变,发病率较高,仅次于宫颈癌,为女性生殖道三大恶性肿瘤之 一,所占比例在20%~30%[1]。该病以58~61岁作为主要发病年龄层, 早期往往无明显症状,绝经后阴道流血及排液为相对而言较为特异症 状[2-6],晚期患者会由于周围组织受到侵犯为出现下腹及腰骶部疼痛症 状。子宫内膜癌临床诊治方案的确定与患者年龄、病变范围、组织学 类型、临床分期等情况有关[5],预后也因此有所差异,因此诊断工作 极为重要,为后期治疗方案的确定提供重要信息。本文以我院收治子 宫内膜癌患者进行研究,对CT检查与MRI检查在子宫内膜癌临床分期中 的诊断价值进行探析,现报道如下。