摘要
目的:比较多层螺旋CT与磁共振成像(MRI)对宫颈癌临床分期的诊断效能。方法:回顾性分析2020年1月至2021年9月该院收治的80例宫颈癌患者的临床资料,患者入院后均接受多层螺旋CT与MRI检查,以病理检查结果为金标准,比较多层螺旋CT与MRI诊断宫颈癌临床分期的准确度,对癌细胞间质浸润、阴道浸润、宫体浸润、宫旁浸润的检出率,以及对不同大小肿瘤的检出率。结果:MRI诊断宫颈癌临床分期的准确度为97.50%(78/80),高于多层螺旋CT的86.25%(69/80),差异有统计学意义(P<0.05);MRI对阴道浸润、间质浸润的检出率分别为91.89%(34/37)、95.00%(76/80),分别高于多层螺旋CT的70.27%(26/37)、82.50%(66/80),差异均有统计学意义(P<0.05);多层螺旋CT与MRI对宫旁浸润、宫体浸润的检出率比较,差异均无统计学意义(P>0.05);MRI对直径≤4 cm病灶的检出率为93.55%(29/31),高于多层螺旋CT的58.06%(18/31),差异有统计学意义(P<0.05);多层螺旋CT与MRI对直径>4 cm病灶的检出率比较,差异无统计学意义(P>0.05)。结论:MRI诊断宫颈癌临床分期的准确度,以及对阴道浸润、间质浸润、直径≤4 cm病灶的检出率均高于多层螺旋CT。
Objective:To compare effects of multi-slice spiral CT and magnetic resonance imaging(MRI)examination in clinical staging diagnosis of cervical cancer.Methods:The clinical data of 80 patients with cervical cancer admitted to this hospital from January 2020 to September 2021 were retrospectively analyzed.All patients underwent multi-slice spiral CT and MRI emanations after admission.Using the pathological examination results as the gold standard,the accuracy of multi-slice spiral CT examination and MRI examination in the clinical staging diagnosis of cervical cancer and the detection rats of the cancer cell interstitial infiltration,the vaginal infiltration,the uterine body infiltration,the parametrial infiltration,the lesions with the diameter≤4 cm and the lesions with the diameter>4 cm were compared.Results:The accuracy of MRI in the clinical staging diagnosis of cervical cancer was 97.50%(78/80),which was higher than 86.25%(69/80)of multi-slice spiral CT,and the difference was statistically significant(P<0.05).The detection rates of vaginal infiltration and interstitial infiltration by MRI were 91.89%(34/37)and 95.00%(76/80),respectively,which were higher than 70.27%(26/37)and 82.50%(66/80)by multi-slice spiral CT,and the differences were statistically significant(P<0.05).There were no significant differences in the detection rate of parametrial infiltration and uterine body infiltration between multislice spiral CT and MRI(P>0.05).The detection rate of MRI examination in the lesions with the diameter≤4 cm was 93.55%(29/31),which was higher than 58.06%(18/31)of multi-slice spiral CT examination,and the difference was statistically significant(P>0.05).There was no statistically significant difference in the detection rate of lesions with the diameter>4 cm between multi-slice spiral CT and MRI(P>0.05).Conclusions:The accuracy of MRI in the clinical staging diagnosis of cervical cancer and the detection rates of vaginal infiltration,interstitial infiltration and lesions with the diameter≤4 cm are higher than those of multi-slice spiral CT.
作者
陈超
孙逢霞
CHEN Chao;SUN Fengxia(Department of Radiology of Songzi People’s Hospital,Jingzhou 434200 Hubei,China)
出处
《中国民康医学》
2023年第13期137-139,共3页
Medical Journal of Chinese People’s Health
关键词
宫颈癌
临床分期
磁共振成像
CT
检查
准确度
检出率
Cervical cancer
Clinical stage
Magnetic resonance imaging
CT
Examination
Accuracy
Detection rate
