核磁共振成像在子宫内膜癌宫颈浸润评估中应用研究

Application of Magnetic Resonance Imaging in the Evaluation of Cervical Infiltration in Endometrial Cancer

目的:观察核磁共振成像(Magnetic Resonance Imaging,MRI)评估子宫内膜癌宫颈浸润价值。方法:选择2016年07月至2018年07月我院收治的80例子宫内膜癌患者。所有患者均接受病理诊断与MRI检查,并依据病理诊断结果,将受检者分为观察组(伴宫颈浸润,n=22)与对照组(未伴宫颈浸润,n=58),记录MRI子宫内膜癌表现与两组表观扩散系数值(Apparent diffusion coefficient,ADC)值。结果:经MRI检查,80例子宫内膜癌患者中,局限性子宫内膜癌19例,弥漫性子宫内膜癌61例,存在子宫内膜增厚,强化不均匀;观察组宫颈病灶ADC值低于对照组,差异有统计学意义(P<0.05)。结论:针对子宫内膜癌患者,予以MRI检查利于提高诊断准确率,而ADC值在子宫内膜癌有无宫颈浸润评价中具有重要作用。

Objective:To observe the value of magnetic resonance imaging (MRI) in the evaluation of cervical infiltration in endometrial cancer.Methods:80 patients with endometrial cancer in the hospital from July 2016 to July 2018 were selected as the research object. All the patients received pathological diagnosis and MRI examination. The selected cases were divided into observation group (with cervical infiltration, n=22) and control group (without cervical infiltration, n=58) by pathological diagnosis results. The MRI endometrial cancer performance and the apparent diffusion coefficient (ADC) value of the two groups were recorded.Results:According to MRI, among the 80 patients with endometrial cancer, there were 19 cases of localized endometrial cancer and 61 cases of diffuse endometrial cancer, there was endometrial thickening and uneven enhancement; The ADC value of cervical lesions in observation group was lower than that in control group (P<0.05).Conclusion:MRI for patients with endometrial cancer can increase diagnostic accuracy. And ADC value plays an important role in the evaluation of endometrial cancer with or without cervical infiltration.