目的 研究宫颈癌CT灌注成像 分期与FIGO分期及病理分期的比较。方 法 采用GE Lightspeed UItra 16排多层 螺旋CT扫描仪对我院148例宫颈癌患者 进行增强扫描，图像传输至PACE系统并 进行多平面重建(MPR)，得到冠状位、 矢状位、斜冠状位图像，比较CT分期、 FIGO分期及术后病理分期的差异。结 果 148例宫颈癌患者CT分期诊断Ⅰa期 27例、Ⅰb期41例、Ⅱa期28例、Ⅱb期 18例、Ⅲa期6例，分期正确120例，占 81.08%，其中7例CT、FIGO分期显示无病 变，漏诊率4.73%，后经术后脱落细胞学 检出，CT诊断过低分期8例，占5.41%， 过高分期20例，占13.51%，FIGO分期过 低分期31例，过高分期28例，诊断准确 率60.14%。结论 CT灌注成像分期准确 率高于FIGO分期，并可提供更多的病理 信息，可作为FIGO分期后的纠错检查措 施，CT对术前分期、手术方案选择及预 后有重要的指导意义。

Objective To compare CT perfusion imaging staging and FIGO staging and pathological staging of cervical carcinoma. Methods 148 patients with cervical carcinoma were scanned with GE Lightspeed UItra 16 slice spiral CT scanner. The images were transmitted to the PACE system and were processed by multi planar reconstruction (MPR) to obtain coronal, sagittal and oblique coronal images. The differences of CT staging, FIGO staging and postoperative pathological staging were compared. Results CT staging diagnosis of 148 patients with cervical carcinoma showed 27 cases of stageⅠa, 41 cases of stageⅠb, 28 cases of stageⅡa, 18 cases of stageⅡb and 6 cases of stageⅢa. Staging was correct in 120 cases, accounting for 81.08%, in which CT and FIGO staging showing no lesions in7 cases. The rate of missed diagnosis was 4.73% which was detected by postoperative exfoliative cytology. CT diagnosed excessive low staging in 8 cases, accounting for 5.41% and excessive high staging in 20 cases, accounting for 13.51%. For FIGO staging, there was excessive low staging in 31 cases and excessive high staging in 28 cases. The diagnostic accuracy was 60.14%. Conclusion The accurate rate of CT perfusion imaging staging is higher than that of FIGO staging and it can provide more information. It can be used as an error correction test after FIGO staging. CT is of important guiding significance in preoperative staging, the selection of operation scheme and prognosis.