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CT联合MRI用于子宫内膜癌分期诊断的价值分析与效果观察

作者:窦 斌1 李兆蕾2

所属单位:1.山东省日照市中医医院CT室 (山东 日照 276800) 2.山东省日照市东港区人民医院妇 产科 (山东 日照 276800)

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摘要

目的 探讨CT联合MRI用于子宫 内膜癌分期诊断的临床价值。方法 以 我院影像科收治的36例经病理证实的子 宫内膜癌患者为研究对象,根据其临床 资料进行回顾性分析和总结,分别对其 进行单纯CT、MRI检查以及CT联合MRI检 查,以病理诊断为依据,对比分析其诊 断结果。结果 单纯CT分期诊断的准确率 为55.6%,单纯MRI分期诊断的准确率为 66.7%,CT联合MRI分期诊断的准确率为 88.9%,CT联合MRI检查的准确率明显高 于单纯CT或MRI,P<0.05,具有统计学 意义。结论 CT联合MRI用于子宫内膜癌分 期诊断具有较高的临床价值,与单纯的 CT或MRI检查相比,其诊断准确率更高, 可以为患者后续治疗提供重要的参考依 据,具有较高的临床应用价值,值得推 广。

Objective To evaluate clinical value CT in combination with Magnetic Resonance Imaging (MRI) for staging diagnosis of endometrial carcinoma. Methods Thirty sixty patients admitted by the Video branch of the Hospital confirmed to suffer from endometrial carcinoma via were selected as the research candidates, who were retrospectively analyzed and summarized according to the clinical data, and such candidates were subject to single MRI and CT examination and combined examination of MRI and CT respectively, and diagnostic results were compared and analyzed based on pathological diagnosis. Results The staging diagnosis accuracy of single CT hit 55.6% pure, that value for pure MRI and combined CT and MRI hit 66.7% and 88.9% respectively, the accuracy of CT in combination with MRI was obviously higher than that of pure CT or MRI(P<0.05), the differences had statistical significance. Conclusions The staging diagnosis of CT combined with MRI on endometrial carcinoma delivers high clinical value, and its diagnosis accuracy is higher when compared to pure CT or MRI, it may provide important reference basis for treatments in the future, imposing high clinical value and being worthy of promotion

【关键词】子宫内膜癌;分期诊断;

【中图分类号】R445.3、R445.2

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2016.04.033

前言

子宫内膜癌也被称为子宫体癌,是指发生于子宫内膜上皮的恶性 肿瘤,它是临床比较常见的疾病之一[1]。随着社会不断发展,人们的 生活方式和生活习惯发生了很大的变化,子宫内膜癌的发病率呈现不 断上升的趋势,且其发病年龄也有愈发年轻化的趋势,严重威胁女性 的健康和生命安全。临床对于子宫内膜癌的治疗主要是根据其临床分 期、癌细胞的分化程度等来选择适宜的治疗方式,因此在其手术前通 过准确的诊断对其进行正确的分期,可以提高患者的治疗效果,改善 其预后情况[2]。随着医疗水平的发展,不同的影像学技术已经被广泛 的应用于子宫内膜癌的诊断中,如超声、CT、MRI等。近年来,我院以 36例子宫内膜癌患者为研究对象,旨在探讨CT联合MRI用于子宫内膜癌 分期诊断的临床价值,现将其如下报告。