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宫颈癌的超声及MRI影像学表现及诊断价值

作者:严德星1 熊伟坚1 汤庆锋2 陈晓营3

所属单位:1.广东省韶关市第一人民医院医学 影像科 (广东 韶关 512000) 2.广东省韶关市第一人民医院超声 科 (广东 韶关 512000) 3.广东省韶关市第一人民医院妇产 科 (广东 韶关 512000)

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摘要

目的 探析宫颈癌的超声及MRI 影像学表现及诊断价值。方法 选择我院 2012年6月-2015年6月所收治57例宫颈癌 患者展开研究,所有患者均行阴道彩色 多普勒超声及MRI检查,比较两组诊断准 确率。结果 超声、MRI及联合检查的诊 断准确率分别为78.9%、86.0%、93.0%, 联合检查最高,准确率与MRI的比较无显 著差异,但明显高于超生检查,比较有 统计学意义(P<0.05)。结论 超声与 MRI在宫颈癌临床诊断中具有较大价值, MRI准确性更高,可有效判定临床分期 而确定治疗方案,对于高度怀疑病例, 则可通过联合检查进一步提高诊断准确 性。

Objective To study the imaging manifestations and diagnostic value of ultrasound and MRI in cervical cancer. Methods 57 cases of cervical cancer patients admitted into the jospital from June 2012 to June 2015 were studied and all patients received transvaginal color doppler ultrasound and MRI examination. The diagnostic accuracy was compared between the two groups. Results The diagnostic accurate rates of ultrasound, MRI and joint inspection were 78.9%, 86.0% and 93.0%, respectively which of the joint inspection was the highest. The differences in accurate rate and MRI were not significant, but the accuracy was significantly higher than that of ultrasonic examination and the comparison was statistically significant (P<0.05). Conclusion Ultrasound and MRI in the clinical diagnosis of cervical cancer is of great value while MRI is more accurate, which can effectively determine the clinical staging and treatment plan. For the highly suspected cases, the diagnostic accuracy can be further improved through the joint inspection.

【关键词】宫颈癌;超声;影像学表 现;诊断;准确率

【中图分类号】R737.33

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2017.02.024

前言

宫颈癌为女性常见恶性肿瘤,发病率居生殖道肿瘤之首,严重威 胁女性健康。该病发病原因目前尚不明确,早发现、早治疗为改善 预后的关键[1]。由于不同分期患者治疗方案存在较大差异,早期以手 术切除为主,晚期多行化疗,因此明确宫颈癌患者临床分期极为重 要[2]。FIGO分期标准依然为目前治疗方案的主要依据,而CT、超声及 MRI等检查的应用可让临床分期准确率不断获得提高,但相关比较研究 较为缺乏[3]。本文以我院收治宫颈癌患者为例,对宫颈癌的超声及MRI 影像学诊断价值进行探析,报道如下。