盆腔淋巴造影术对妇科恶性肿瘤淋巴结转移的诊断价值

The value of pelvic lymphography in the diagnosis of lymph nodal metastases in carcinoma of female genital system.

目的 分析盆腔淋巴造影术对妇科恶性肿瘤淋巴结转移的诊断价值。方法 通过对 82例妇科恶性肿瘤患者行盆腔淋巴造影术 ,将造影结果与术后淋巴结病检结果对照分析。结果 盆腔淋巴造影术诊断妇科恶性肿瘤淋巴结转移的准确率为 89.0 2 % ,灵敏度 80 .65 % ,特异度 94.12 % ,假阳性率 5 .88% ,假阴性率 19.3 5 %。盆腔淋巴造影术对宫颈癌、子宫内膜癌、卵巢癌及外阴癌淋巴结转移的诊断准确率分别为 84.3 8%、95 .0 0 %、86.3 6%及 87.5 0 % ,对各组疾病淋巴结转移诊断准确率之间的差异均无显著性 (P >0 .0 5 )。结论 盆腔淋巴造影术对妇科恶性肿瘤淋巴转移的诊断有价值 ,但对早期妇科恶性肿瘤淋巴结转移的诊断有一定的局限性。

Objective: To analyse the value of pelvic lymphography in the diagnosis of lymph nodal metastases in carcinoma of female genital system. Methods: We performed pelvic lymphography to 82 patients with carcinoma of female genital system. Results: The accuracy,sensitivity,specificity,false poitive and false negative of pelvic lymphography in the diagnosis of lymph nodal metastases in carcinomas of femal genital system were 89.02%,80.65%,94.12%5.88%and 19.35%,respectively. the accuracy of pelvic lymphography in the diagnosis of lymph nodal metastases in carcinoma of the cervix,endometrial carcinoma,ovarian cancer and carcinoma of extemal genitalia(84.38%,95.00%,86.36% and 87.50%,respectively)were no difference(P>0.05). Conclusion: Pelvic lymphography have the diagnostic value in lymph nodal metastases in carcinoma of female genital system,but have some limited in early stages of cancer.