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MRI与超声在宫颈癌临床诊断、分期及宫旁侵犯评估中的应用效果比较

作者:牛海燕

所属单位:郑州市第一人民医院生殖科(河南 郑州 450000)

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摘要

目的比较MRI与超声在宫颈癌临 床诊断、分期及宫旁侵犯评估中的应用效 果。方法 将2016年1月至2017年12月来我 院就诊的106例疑似宫颈病变患者纳入本 研究,所有入选者均同时接受MRI与阴道 彩色多普勒超声检查,比较MRI与超声检 查结果。结果 MRI诊断宫颈癌灵敏度和准 确率均显著高于超声(P<0.05);MRI对宫 颈癌临床分期的准确率显著高于超声(P <0.01);MRI对宫颈癌宫旁侵犯的诊断准 确率显著高于超声(P<0.05)。结论 MRI 在宫颈癌临床诊断、分期及宫旁侵犯评估 中准确性高于超声,可为宫颈癌的临床诊 治提供可靠依据。

Objective To explore the effects for the patients with cervical carcinoma on clinical diagnosis, stages, collateral damage assessment by MRI and ultrasound. Methods 106 cases of patients who suspected cervical lesions were researched. They were tested by MRI and ultrasound. The tested results were observed. Results The sensitivity and accuracy for the tested results of MRI were higher than ultrasound(P<0.05). The accuracy on clinical stages for the tested results of MRI were were higher than ultrasound(P<0.05). The accuracy on cervical cancer for the tested results of MRI were were higher than ultrasound(P<0.05). Conclusion It has more accurate of MRI than ultrasound in clinical diagnosis, staging and collateral damage evaluation of cervical cancer, it can provide reliable basis for clinical diagnosis and treatment of cervical cancer.

【关键词】宫颈癌;MRI;超声;诊断; 分期;宫旁侵犯

【中图分类号】R737.33;R445.1;R445.2

【文献标识码】A

【DOI】10.3969/j.issn.1672-5131.2018.08.036

前言

宫颈癌是妇科常见恶性肿瘤,多发于青中年女性,严重影响女性 健康。随着近几年宫颈细胞学筛查的普遍应用以及居民健康意识的增 强,宫颈癌和癌前病变早期发现几率大增,使得宫颈癌的发病率和 死亡率明显下降[1]。但宫颈细胞学筛查无法明确肿瘤的侵犯途径与范 围,在准确评估宫颈癌病情方面效果欠佳[2]。随着影像学技术的不断 发展,高分辨MRI、高频腔内超声等手段在宫颈癌诊断与临床分期中的 良好应用前景得到了广泛认可[3]。本研究即深入比较了MRI与超声在宫 颈癌临床诊断、分期及宫旁侵犯评估中的应用效果,以期为宫颈癌的 早期影像学诊断提供参考,为准确评估病情和治疗方案拟定提供科学 依据,现报道如下。