CT和B超诊断ⅠB至ⅡA期宫颈癌宫旁浸润的意义

The Significance of CT and Ultrasound in the Diagnosis of Ⅰ B to Ⅱ A Stage Cervical Cancer

目的:探讨ⅠB至ⅡA期宫颈癌宫旁浸润应用CT及B超检查的诊断意义。方法:回顾性分析81例经病理学明确诊断为宫颈癌患者的临床资料,对比分析应用CT及B超检查对ⅠB至ⅡA期宫颈癌宫旁浸润的诊断准确率,评价两种检查对ⅠB至ⅡA期宫颈癌宫旁浸润的诊断价值。结果:CT检查及B超检查对ⅠB至ⅡA期宫颈癌宫旁浸润的灵敏度及特异度均存在显著差异,CT检查的灵敏度为83.33%,明显优于B超检查的50.00%(字2=4.5000,P=0.0338);而CT检查的特异度为88.89%,明显优于B超检查的74.60%(字2=4.3081,P=0.0379)。CT检查的诊断价值显著高于B超声检查(P<0.05)。结论:CT检查及B超检查均对ⅠB至ⅡA期宫颈癌宫旁浸润有着较高的诊断价值,但CT的诊断价值较B超检查更优。

Objective：To explore the significance of CT and ultrasound in the diagnosis of ⅠB to ⅡA stage cervical cancer. Method：81 pathological diagnosis for cervical cancer patients were retrospectively analyzed,as well as the diagnostic accuracy of CT and ultrasound examination on ⅠB to ⅡA stage cervical cancer. And to evaluate the diagnostic value of two kinds of inspection on ⅠB to ⅡA stage cervical cancer. Result：There were sensitivity of significant differences and specific degrees between CT and B ultrasonic on ⅠB to ⅡA stage cervical cancer. The sensitivity of CT examination was 83.33%,significantly better than that of B ultrasonic examination 50.00%（X2=4.5000, P=0.0338）. And CT examination specific degrees was 88.89%,which was significantly better than ultrasound（74.60%） （X2=4.3081,P=0.0379）. The diagnostic value of CT examination was significantly higher than that of B ultrasound （P〈0.05）. Conclusion：CT examination and B ultrasonic examination on ⅠB to ⅡA stage cervical cancer near the palace infiltration has A higher diagnostic value of CT diagnosis value of B ultrasonic examination is better.