CT和B超联合检测在宫颈癌宫旁浸润和淋巴结转移中的诊断价值

Diagnostic Value of Combined Detection of CT and B-ultrasound in Para Uterine Infiltration and Lymph Node Metastasis of Cervical Cancer

目的:探讨CT和B超诊断宫颈癌宫旁浸润和淋巴结转移中的应用价值。方法:宫颈癌患者102例分别给予CT检测、B超检测以及联合检测,内容涵盖患者宫颈癌宫旁浸润及淋巴性转移,分析其检测结果。结果:本组病例中共有56例宫颈癌宫旁浸润,60例淋巴结转移;联合检测在诊断宫颈癌宫旁浸润方面的准确度、特异度、阳性预测值和正确指数分别为95.10%、97.83%、98.11%、87.96%,在诊断淋巴结转移方面的准确度、特异度、阳性预测值和正确指数分别为93.33%、94.12%、95.24%、96.55%、90.91%、88.57%,均明显高于CT检测和B超检测。结论:在宫颈癌宫旁浸润和淋巴结转移中CT联合B超检测能够有效减少误诊情况,提高准确度,应用价值较高。

Objective:To investigate the application value of CT and ultrasonography in the diagnosis of cervical cancer parametrial invasion and lymph node metastasis in cervical cancer patients.Methods:102 cases were treated with CT detection,ultrasonic detection and combined detection,including cervical cancer parametrial infiltration and lymphatic metastasis,analysis of the test results.Results:There were 56 cases of cervical cancer and 60 cases of lymph node metastasis.The accuracy,specificity,positive predictive value and correct index of combined detection in the diagnosis of cervical cancer were 95.10%,97.83%,98.11%,87.96%respectively.The accuracy,specificity,positive predictive value and correct index of lymph node metastasis were 93.33%,94.12%,95.24%,96.55%,90.91%and 88.57%,respectively,which were significantly higher than those of CT and B-mode ultrasonography.Conclusion:CT combined with B-ultrasound can effectively reduce the misdiagnosis,improve the accuracy,and have high application value.