CT与MRI检查在卵巢癌诊断中的应用价值

Value of CT and MRI in the diagnosis of ovarian cancer

目的探讨CT与MRI检查在卵巢癌诊断中的应用价值。方法选取2016年1月至2017年1月73例卵巢癌患者为研究对象,所有患者术前均行CT及MRI检查,术后根据病理结果评价两种检查方法诊断准确率。结果 MRI在卵巢癌中的诊断准确率高于CT(P<0.05)。MRI在卵巢癌病理定性诊断的准确率高于CT(P<0.05)。MRI在卵巢癌临床分期中的诊断准确率高于CT(P<0.05)。MRI在肠管及周围、盆腔淋巴结、腹膜后淋巴结、腹膜网膜及肝脏等远处侵袭及转移中的诊断准确率均显著高于CT(P<0.05)。结论 MRI检查在卵巢癌诊断中较CT检查诊断准确率更高,值得临床进行应用及推广。

Objective To explore the value of CT and MRI in the diagnosis of ovarian cancer. Methods A total of 73 patients with ovarian cancer were selected as the subjects from January 2016 to January 2017. All patients underwent CT and MRI examinations before surgery. The diagnostic accuracies of the two examination methods were evaluated based on the pathological results postoperatively. Results The diagnostic accuracy rate of MRI in ovarian cancer was higher than that of CT（P〈0.05）. The accuracy rate of MRI in pathological diagnosis of ovarian cancer was higher than that of CT（P〈0.05）.The diagnostic accuracy rate of MRI in clinical stage of ovarian cancer was higher than that of CT（P〈0.05）. The diagnostic accuracy rates in distant invasion and metastasis of MRI in the bowel and surrounding, pelvic lymph nodes, retroperitoneal lymph nodes, peritoneal omentum and liver were significantly higher than those of CT（P〈0.05）. Conclusion MRI examination is more accurate in the diagnosis of ovarian cancer than CT examination, which is worthy of promotion.