浸润性宫颈癌运用多层螺旋CT和MRI进行术前分期的临床应用价值分析

Clinical application of multi-slice spiral CT and MRI in preoperative staging of invasive cervical cancer with

目的:探讨浸润性宫颈癌运用多层螺旋CT和MRI进行术前分期的临床应用价值。方法:回顾性分析宁波市医疗中心李惠利东部医院于2014年1月至2016年12月收治的100例浸润性宫颈癌患者的多层螺旋CT和MRI影像学资料,以术后病理分期作为金标准,比较2种检查方式对浸润性宫颈癌术前分期的诊断效果。结果:MRI对于浸润性宫颈癌Ⅱ期、Ⅲ期、Ⅳ期和总诊断符合率分别为93.33%(42/45)、97.30%(36/37)、100.00%(18/18)和96.00%(96/100),均明显高于多层螺旋CT诊断符合率77.78%(35/45)、78.38%(29/37)、66.67%(12/18)和76.00%(76/100),其差异均具有统计学意义(均P<0.05)。结论:在浸润性宫颈癌术前分期的临床诊断中,应用MRI可以进行初步分期,诊断准确性明显高于多层螺旋CT,具有临床推广意义。

Objective： To explore the clinical application value of multi-slice spiral CT and MRI for preoperative staging of invasive cervical cancer. Methods： The multidimensional spiral CT and MRI images of 100 patients with invasive cervical cancer treated in our hospital from January 2014 to December 2016 were retrospectively analyzed. The postoperative pathological staging was used as the gold standard to compare the preoperative staging results of the two methods. Results： The coincidence rates of MRI for stage Ⅱ,Ⅲ,Ⅳ and total diagnoses were93. 33%（ 42/45）,97. 30%（ 36/37）,100. 00%（ 18/18）,96. 00%（ 29/37）,higher than those of multi-slice spiral CT,which were 77. 78%（ 35/45）,78. 38%（ 29/37）,66. 67%（ 12/18） and 76. 00%（ 76/100） respectively. The difference was statistically significant（ P〈0. 05）. Conclusions： In terms of clinical preoperative staging of invasive cervical cancer,MRI is of higher accuracy than multi-slice spiral CT,worthy of clinical promotion.