多模态磁共振对子宫内膜癌患者外科治疗前分级分期的诊断效果

The Effect of Multimodal Magnetic Resonance on the Staging of Staging before Endometrial Cancer Surgery

目的探究多模态磁共振对子宫内膜癌患者外科治疗前分级分期的诊断效果。方法选取93例子宫内膜癌患者为研究对象,按照诊断方式不同分为对照组和实验组,其中对照组46例患者采用CT扫描分析诊断方式,实验组47例患者采用MRI扫描及后处理分析诊断方式,对比两者的诊断性指标,以及在子宫内膜癌各期的诊断准确度,利用核磁共振成像方法对比子宫内膜癌患处与正常肌层的ER值差异。结果实验组检查的敏感性为89.36%、准确性为93.62%,对照组的敏感性为60.87%、准确性为67.39%,实验组相对于对照组的准确性和敏感性更高,差异具有统计学意义(P<0.05)。对比2组子宫内膜癌各期诊断准确率,实验组总准确率高达91.5%,而对照组仅为65.2%,其差异具有统计学意义(P<0.05)。实验结果显示93例子宫内膜癌患者各期ER值均低于正常子宫肌层,其中大于30 s时,ER值的差异有统计学意义(P<0.05),而30 s以内ER值差异无统计学意(P>0.05)。子宫内膜癌在(50±10)s,而正常子宫肌层大于60 s(在小于180 s情况下),两者差异有统计学意义(P<0.05)。结论磁共振对子宫内膜癌患者外科治疗前分级分期的诊断效果相较CT扫描技术具有明显的优势,在子宫内膜癌各期的诊断准确率都明显高于CT。利用磁共振测子宫内膜癌各期的ER值,准确率也非常高,建议在临床上广泛应用。

Objective To explore the diagnostic effects of multimodal magnetic resonance imaging on the staging and staging of endometrial cancer before surgical treatment.Methods 93 patients with endometrial cancer diagnosed by pathological biopsy were selected as the study subjects.Patients were divided into the control group and the experimental group according to different diagnosis methods.46 patients in the control group were included in the study.CT scan analysis was used to diagnose 47 patients in the experimental group using MRI scanning and post-processing analysis.Diagnostic criteria were compared,as well as the diagnostic accuracy of each stage of endometrial cancer,and the uterus was compared with MRI.The difference in ER values between the affected area of the endometrial cancer and the normal muscle layer.Results The sensitivity,accuracy and specificity of the 2 groups were compared.The sensitivity of the experimental group was 89.36%and the accuracy was 93.62%.The sensitivity of the control group was 60.87%The accuracy was 67.39%.The experimental group compared with the control group,the accuracy and sensitivity were higher,and the difference was statistically significant(P<0.05).Comparing the diagnostic accuracy of the 2 groups of endometrial cancers,the total accuracy of the experimental group was as high as 91.5%,while that of the control group was only 65.2%.The difference was statistically significant(P<0.05).The experimental results showed that the ER values of 93 cases of endometrial cancer were lower than that of normal myometrium.The difference of ER values was statistically significant(P<0.05),and there was no statistical difference in ER value within 30s.Italy(P>0.05).Endometrial cancer was at(50±10)s,while normal myometrium was greater than 60 s(at less than 180 s).There was a significant difference between the 2 groups(P<0.05).Conclusion Magnetic resonance imaging has a distinct advantage over CT scan in the diagnosis of endometrial cancer before surgical treatment.The diagnostic accuracy of endometrial cancer is significantly higher than that of other diagnostic methods.Using MRI to measure the ER value of endometrial cancer at various stages,the accuracy rate is also very high,and it is recommended to be widely used in clinical practice.