总结多层螺旋CT检查诊断宫颈癌淋巴结转移的应用价值

To Summarize the Value of Multislice Spiral CT in the Diagnosis of Lymph Node Metastasis of Cervical Cancer

目的:探析多层螺旋CT诊断宫颈癌淋巴结转移的临床价值。方法:选取于2017年1月~2019年1月本院收治的55例宫颈癌淋巴结转移患者,均行彩色多普勒超声及多层螺旋CT检查,对比分析两种检查结果。结果:多层螺旋CT诊断淋巴结转移患者49例,诊断率为89.09%;超声检查诊断淋巴结转移患者41例,诊断率为74.55%,多层螺旋CT诊断率明显超过超声检查(P<0.05);多层螺旋CT检查腹部淋巴结转移检出敏感性为92.86%,特异性为69.23%;盆腔淋巴结转移检出敏感性为93.18%,特异性为54.55%。结论:多层螺旋CT技术应用到诊断宫颈癌淋巴结转移的临床效果显著,具有优异的特异性与敏感度,精确率较高。

Objective:To explore the clinical value of multislice spiral CT in the diagnosis of cervical cancer lymph node metastasis.Methods:55 patients with cervical cancer with lymph node metastasis admitted to our hospital from January 2017 to January 2019 were selected,all of whom underwent color Doppler ultrasound and multi-slice spiral CT examination,and the results of the two examinations were compared and analyzed.Results:Multi slice spiral CT diagnosis of lymph node metastasis in 49 cases,the diagnostic rate was 89.09%;There were 41 patients with lymph node metastasis diagnosed by ultrasonography,and the diagnostic rate was 74.55%.The diagnostic rate of MSCT was significantly higher than that of ultrasonography(P<0.05);The sensitivity and specificity of MSCT in detecting abdominal lymph node metastasis were 92.86%and 69.23%,respectively;The sensitivity and specificity of pelvic lymph node metastasis were 93.18%and 54.55%,respectively.Conclusion:The application of multi-slice spiral CT to the diagnosis of cervical cancer lymph node metastasis has significant clinical effects,with excellent specificity and sensitivity,and high accuracy.