64排螺旋CT对宫颈癌的临床价值

Clinical value of 64-slice spiral CT in cervical carcinoma

【目的】探讨64排螺旋CT对宫颈癌的临床价值。【方法】回顾性分析80例宫颈癌的CT检查结果,并与临床病理结果进行对照分析。【结果】鳞癌74例、腺癌5例、腺鳞癌1例。临床病理分期:Ia 1期2例、Ia 2期1例、Ib 1期25例、Ib 2期35例、IIa期14例、IIb期2例、IIIa期1例;CT诊断结果:Ia 1期检出1例、诊断为Ia 2期,另1例未检出,Ia 2期1例、未检出,Ib 1期检出19例,检出率为76%(19/25),3例提示可疑宫颈癌诊断、3例未检出,Ib 2期检出30例,检出率为85.72%(30/35),3例提示可疑宫颈癌诊断、2例未检出,IIa期检出13例、1例未检出,IIb-IIIa期3例全部检出。【结论】64排螺旋CT对宫颈癌的检出及定性诊断准确率较高,本组80例宫颈癌患者CT定性诊断总准确率为82.50%(66/80),≥Ib 1期定性诊断准确率为84.41%(65/77)、≥Ib 2期定性诊断准确率为88.46%(46/52)、但CT分期诊断与临床病理符合率不理想(≥Ib 1期的宫颈癌,两者符合率仅为61.04%(47/77),有待进一步提高。

【Objective】To investigate the clinical value of 64-slice spiral CT in cervical carcinoma.【Methods】The results of CT scan in 80 cervical carcinoma were analyzed retrospectively and compared with clinical pathologic findings.【Results】There were 74 cases with squamous carcinoma,5 cases with adenocarcinoma and one case with adeno-squamous carcinoma.In clinical pathologic staging ：2 cases were staged in Ia1,one case in Ia2、25 cases in Ib1、 35 cases in Ib2、14 cases in IIa、2 cases in IIb and one case in IIIa.Among the results of CT diagnosis, one case in Ia1 was diagnosed to be in Ia2 was detected,however,the other case in Ia1 and the one in Ia2 were not detected.CT was able to detect tumors in 76% of Ib1 stage（19/25）,and among the remainings,3 cases were pointed out to be suspective diagnosis of cervical carcinoma and 3 cases were not detected.In Ib2 stage,30 cases were detected,at the ratio of 85.72%（30/35）,3 cases were suspected of cervical carcinoma and 2 cases were not detected.13 cases of IIa stage were detected by the spiral CT,but one case was in failure.All of the 3 cases of IIb and IIIa stages were detected.【Conclusions】There is a higher accuracy of 64-slice spiral CT for the detection and qualitative diagnosis of cervical carcinoma.The overall accuracy of CT qualitative diagnosis for 80 patients of cervical carcinoma in this group is 82.50%（66/80）,the rate of ≥Ib1 stage is 84.41（65/77） and the rate of ≥Ib2 stage is 88.46%（46/52）.However,the diagnosis of CT staging does not correspond with the clinical pathology perfectly（cervical carcinoma of Ib1,only 61.04%（47/77） were in accord）and remains to make a further improvement.