B超、CT及MRI对绝经后子宫内膜癌淋巴结转移的诊断价值

The Diagnostic Value of B-Mode Ultrasound,CT and MRI in Lymph Node Metastasis of Postmenopausal Endometrial Carcinoma

目的:研究术前B超、CT及MRI用于评估绝经后子宫内膜癌淋巴结转移的诊断价值。方法:回顾性分析2019年1月~2020年6月于本院治疗的绝经后子宫内膜癌患者173例,其中173例接受B超检查,129例接受MRI检查,41例接受CT检查,并以术后病理为金标准,比较三组间相关统计学指标,同时进行一致性分析。结果:在绝经后子宫内膜癌淋巴结转移患者中,MRI和CT对术后病理诊断结果的一致性较高(κ值分别为0.585、0.497),差异有统计学意义(P<0.05)。结论:MRI和CT对判断绝经后子宫内膜癌淋巴结转移有较大的指导意义。

Objective:To research the diagnostic value of B-mode ultrasound,CT and MRI in lymph node metastasis of postmenopausal endometrial carcinoma.Methods:A total of 173 patients with postmenopausal endometrial cancer treated in our hospital from January 2019 to June 2020 were retrospectively analyzed.Among them,173 patients received B-ultrasound examination before operation,129 patients received MRI examination before operation,and 41 patients received CT examination before operation.Taking the postoperative pathological diagnosis as the gold standard,the relevant statistical indicators among the three groups were compared,and the consistency was analyzed.Results:In postmenopausal endometrial cancer patients with lymph node metastasis,MRI and CT have a high consistency in postoperative pathological diagnosis(κvalues were 0.585 and 0.497).The difference was statistically significant(P<0.05).Conclusion:MRI and CT have great guiding significance in judging lymph node metastasis of postmenopausal endometrial carcinoma.