论著-头颈部
TVCDS、MRI单用或联用于宫颈癌术前分期诊断价值比较
作者:褚爱鹏1 樊 明2 成建华3 黄文启1
所属单位:1.河南省商丘市第一人民医院放射 科 (河南 商丘 476100) 2.铜川矿务局中心医院CT、MRI室 (陕西 铜川 727000) 3.河南省商丘市第一人民医院超声 科 (河南 商丘 476100)
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目的 探讨经阴道彩色多普勒超 声(TVCDS)、MRI单用或联用于宫颈癌术前 分期诊断临床价值差异。方法 回顾性分 析我院近期收治经术后病理确诊宫颈癌患 者共120例TVCDS和MRI影像学检查资料, 比较两种影像学方式单用、联用术前分期 与术后临床分期一致率。结果 MRI单用 于宫颈癌术前分期与术后临床分期一致 率为87.50%(105/120);TVCDS单用于宫 颈癌术前分期与术后临床分期一致率为 85.00%(105/120);两种影像学方式联用 于宫颈癌术前分期与术后临床分期一致率 为92.50%(111/120);两种影像学方式联 用于宫颈癌术前分期与术后临床分期一致 率显著高于MRI、TVCDS单用,差异有统计 学意义(P<0.05)。结论 TVCDS与MRI联用 可有效提高宫颈癌术前分期诊断准确程 度,价值优于TVCDS、MRI单用。
Objective To investigate clinical value differences of preoperative staging diagnosis of cervical cancer by MRI and TVCDS used alone and combination. Methods The imaging data of MRI and TVCDS of 120 patients with cervical cancer by operation diagnosis were retrospectively analyzed and the diagnosis consistent rate of patients with cervical cancer by MRI and TVCDS used alone and combination between preoperative staging and postoperative staging was compared. Results The diagnosis consistent rate of patients with cervical cancer by MRI used alone between preoperative staging and postoperative staging was 87.50%(105/120), the diagnosis consistent rate of patients with cervical cancer by TVCDS used alone between preoperative staging and postoperative staging was 85.00%(105/120), the diagnosis consistent rate of patients with cervical cancer by MRI combined with TVCDS between preoperative staging and postoperative staging was 92.50%(111/120). The diagnosis consistent rate of patients with cervical cancer by MRI combined with TVCDS between preoperative staging and postoperative staging was significant higher than MRI and TVCDS used alone (P>0.05). Conclusion Compared with MRI and TVCDS used alone, MRI combined with TVCDS in preoperative staging diagnosis of cervical cancer possesses higher accuracy.
【关键词】经阴道彩色多普勒超声;磁共 振;宫颈癌;分期
【中图分类号】R737.33;R445.1
【文献标识码】A
【DOI】 10.3969/j.issn.1672- 5131.2017.03.034
前言
宫颈癌是我国妇科常见恶性肿瘤类型之一,流行病学研究显示, 其发病率和死亡率均居女性恶性肿瘤第2位[1-2];目前宫颈癌临床诊 断主要依靠“三合诊”和阴道镜检查,但无法对肿物浸润范围进行 评价[3]。而宫颈癌浸润术前准确有效分期对于后续治疗方案制定及 预后评估具有关键作用[4];近年来以磁共振(Magnetic resonance imaging,MRI)和经阴道彩色多普勒超声(transvaginal color doppler sonography,TVCDS)为代表影像学检查方式已开始广泛用于宫颈癌诊断 及术前分期。本次研究回顾性分析我院近期收治经术后病理确诊宫颈 癌患者共120例TVCDS和MRI影像学检查资料,比较两种影像学方式单 用、联用术前分期与术后临床分期一致率,探讨TVCDS、MRI单用或联 用于宫颈癌术前分期诊断临床价值差异。
中国CT和MRI杂志
第15卷, 第 3 期
2017年03月
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