MRI动态增强技术在宫颈癌术前分期和诊断中的应用价值分析

Application of dynamic contrast-enhanced MRI in preoperative staging and diagnosis of cervical cancer

目的分析MRI动态增强技术在宫颈癌术前分期及诊断中的应用价值。方法选取商丘市第一人民医院CT室2015年1月-2016年10月收治的宫颈癌患者50例,所有患者术前均实施MRI动态增强技术诊断,并于术后实施病理学诊断,将MRI分期结果同术后病理学诊断结果进行比较。结果患者肿瘤35例呈类圆形,15例呈不规则形;T1W1呈低信号11例,等信号39例;T2W1信号均较强;MRI显示率为100%,其中侵犯宫颈全层16例,侵犯部分间质18例,侵犯阴道16例;MRI术前分期诊断准确率为94%。结论 MRI动态增强技术对宫颈癌患者术前实施分期诊断,准确率高,可作为宫颈癌术前分期及诊断的首选诊断方法。

Objective To analyze the application value of MRI dynamic enhancement technique in preoperative staging and diagnosis of cervical cancer. Methods Sixty patients with cervical cancer admitted in Shangqiu First People’s Hospital from January 2015 to February 2015 were enrolled in this study. All patients were diagnosed by MRI dynamic enhancement before operation. Pathological diagnosis was performed after operation. MRI staging results were compared with postoperative pathological fndings. Results 35 cases of patients with tumor-like round, 15 cases were irregular shape; T1W1 showed low signal in 11 cases, 39 cases of signal; T2W1 signal were strong; MRI showed 100%, which violated the cervix full layer of 16 cases , Infringing part of the interstitial 18 cases, 16 cases of violations of the vagina; MRI preoperative staging diagnosis accuracy rate of 94%. Conclusion MRI dynamic enhancement technique can be used as a primary diagnostic method for preoperative staging and diagnosis of cervical cancer in patients with cervical cancer.