CT检查子宫脱垂的准确率及其在临床分期判断中的应用效果

Accuracy of CT examination in uterine prolapse and its application in the judgment of clinical staging

目的:探讨CT检查子宫脱垂的准确率及其在临床分期判断中的应用效果。方法:选取我院2014年5月至2016年5月收治的子宫脱垂患者62例,随机将这些患者分为CT检查组(n=31)和MR检查组(n=31)两组,应用Light SpeedP ro 16多层螺旋CT(美国GE公司)对患者进行CT检查,应用Avanto 1.5T超导型磁共振仪(德国Simens公司)对患者进行MR检查,然后对两组患者不同临床分期的诊断结果与病理对照分析进行统计分析。结果:CT检查组患者Ⅰ期、Ⅱ期、Ⅲ期诊断的准确率分别为80.0%(12/15)、80.0%(8/10)、100.0%(6/6),总准确率为83.9%(26/31);MR检查组患者Ⅰ期、Ⅱ期、Ⅲ期诊断的准确率分别为86.7%(13/15)、90.0%(9/10)、100.0%(6/6),总准确率为90.3%(28/31)。两组患者Ⅰ期、Ⅱ期、Ⅲ期诊断的准确率及总准确率之间的差异均不显著(P>0.05)。结论:CT检查子宫脱垂的准确率高,在临床分期判断中具有较高的应用效果。

Objectives： To investigate the accuracy of CT examination in uterine prolapse and its application in the judgment of clinical staging. Methods： 62 patients with uterine prolapse in our hospital from May 2014 to May 2016 were selected and were randomly divided into CT group（ n = 31） and MR group（ n = 31）. CT group was given CT examination by Light Speed Pro 16 multi-slice spiral CT（ GE）,while MR group was given MR examination by 1. 5 T Avanto superconducting magnetic resonance scanner（ German Simens Company）. The diagnosis results with different clinical stages and pathologic analysis of two groups were statistically analyzed. Results： The diagnosis accurate rates of stage Ⅰ ,Ⅱ ,Ⅲ in CT group were 80%（12/15）,80%（8/10） and 100%（6/6）,and the total accuracy rate was 83. 9%（26/31）. The diagnosis accurate rates of stage Ⅰ, Ⅱ, Ⅲ in MR group were 86. 7%（13/15）,90%（9/10） and 100%（6/6）,and the total accuracy rate was 90. 3%（28/31）. The differences in the diagnosis accurate rates of stage I,II,III and total accuracy rate between the two groups were not significant（ P 0. 05）. Conclusion： The accuracy rate of CT in the examination of uterine prolapse is high,which has high application effect in the judgment clinical staging.