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论著-头颈部

MSCT与MRI联合对诊 断子宫内膜癌并分 期的临床价值

作者:张 培1 陈殿森2 祁 燕3

所属单位:1.河南科技大学第一附属医院妇产 科 (河南 洛阳 471000) 2.河南科技大学第一附属医院影像 中心 (河南 洛阳 471000) 3.河南科技大学第一附属医院门诊 部 (河南 洛阳 471000)

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摘要

Objective To observe the clinical value of multi-slice spiral CT (MSCT) combined with magnetic resonance imaging (MRI) in the diagnosis and staging of endometrial cancer (EC). Methods The clinical data of 76 patients with EC were analyzed retrospectively. Patients were given MSCT and MRI examination before surgery. Surgical pathological staging was used as the gold standard to compare the diagnostic efficacy of MSCT, MRI and combined diagnosis for EC staging. Results The coincidence rates of MSCT and MRI in the diagnosis of EC staging and surgical pathological staging were 67.11% and 75.00% respectively, and the Kappa values were 0.406 and 0.547 respectively (P<0.05). The coincidence rate of MSCT combined with MRI in the diagnosis of EC staging and surgical pathology was 90.79%, and the Kappa value was 0.826 (P<0.05), which were significantly higher than those of separate diagnosis and surgical pathological staging (P<0.05). Conclusion The results of MSCT combined with MRI in staging diagnosis of EC were highly consistent with those of surgical and pathological staging, which is more advantageous than that of individual diagnosis.

Objective To observe the clinical value of multi-slice spiral CT (MSCT) combined with magnetic resonance imaging (MRI) in the diagnosis and staging of endometrial cancer (EC). Methods The clinical data of 76 patients with EC were analyzed retrospectively. Patients were given MSCT and MRI examination before surgery. Surgical pathological staging was used as the gold standard to compare the diagnostic efficacy of MSCT, MRI and combined diagnosis for EC staging. Results The coincidence rates of MSCT and MRI in the diagnosis of EC staging and surgical pathological staging were 67.11% and 75.00% respectively, and the Kappa values were 0.406 and 0.547 respectively (P<0.05). The coincidence rate of MSCT combined with MRI in the diagnosis of EC staging and surgical pathology was 90.79%, and the Kappa value was 0.826 (P<0.05), which were significantly higher than those of separate diagnosis and surgical pathological staging (P<0.05). Conclusion The results of MSCT combined with MRI in staging diagnosis of EC were highly consistent with those of surgical and pathological staging, which is more advantageous than that of individual diagnosis.

【关键词】多层螺旋CT;核磁共振;子宫 内膜癌;分期诊断

【中图分类号】R737.33;R445

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2019.06.030

前言

子宫内膜癌(Endometrial cancer,EC)约占女性生殖系统恶性肿 瘤的20%~30%,占女性恶性肿瘤的7%[1]。手术为EC的首选治疗方法, 而准确判断EC临床分期、包括确定病变范围、浸润程度、对邻近脏器 及组织的侵犯、是否存在转移等对手术方案的制定、患者预后评估至 关重要[2]。核磁共振(MRI)对肌层的浸润深度及宫颈间质浸润程度有较 清晰的显示,多层螺旋CT(MSCT)则可协助判断子宫外转移[3],二者联 合应用有望对EC术前分期诊断有一定帮助。对此,本研究观察MSCT联 合MRI在EC分期诊断中的应用情况,现报道如下。