摘要
目的探讨计算机断层扫描(CT)、磁共振成像(MRI)和超声术前诊断子宫内膜癌分期的价值。方法我院经手术病理证实的105例子宫内膜癌患者,术前两周内均顺利完成CT、MRI及超声检查,以病理结果为金标准,分析CT、MRI及超声在子宫内膜癌分期中的诊断效能。结果105例患者经术后病理诊断子宫内膜癌Ⅰ期72例,Ⅱ期5例,Ⅲ期17例,Ⅳ期11例;经术前超声、CT、MRI检查诊断子宫内膜癌Ⅰ期55例、60例、66例,Ⅱ期16例、12例、8例,Ⅲ期21例、17例、16例,Ⅳ期13例、16例、15例,与病理诊断分期结果的Kappa=0.482,0.609,0.801(P<0.05);超声、CT、MRI术前诊断Ⅰ~Ⅱ期的诊断效能灵敏度71.43%、79.22%、90.91%,特异度64.28%、71.43%、85.71%,准确率69.52%、77.14%、89.52%。结论CT、MRI及超声均可作为术前诊断子宫内膜癌分期的影像学方法,均能够在术前为子宫内膜癌患者手术方案的制定提供依据,其中MRI诊断效能最高。
Objective To explore the value of computed tomography(CT),magnetic resonance imaging(MRI)and ultrasound in the preoperative diagnosis of endometrial cancer staging.Methods The data of 105 patients with endometrial cancer confirmed by surgical pathology in our hospital were retrospectively analyzed.CT,MRI and ultrasound were successfully completed within two weeks before surgery.The pathological results were used as the gold standard,and the diagnostic efficacy of CT,MRI and ultrasound on endometrial cancer staging was analyzed.Results Among the 105 patients,there were 72 cases with endometrial cancer stage I,5 cases with stage II,17 cases with stage III and 11 cases with stage IV.The preoperative ultrasound,CT and MRI showed that there were 55,60 and 66 cases with endometrial cancer stage I,16,12 and 8 cases with stage II,21,17 and 16 cases with stage III,and 13,16 and 15 cases with stage IV,respectively.Kappa values were 0.482,0.609 and 0.801 with the results of pathological diagnosis staging(P<0.05).Analysis of the diagnostic efficacy of ultrasound,CT and MRI in the preoperative diagnosis of stage I and stage II showed that the sensitivities were 71.43%,79.22%and 90.91%,and the specificities were 64.28%,71.43%and 85.71%,and the accuracy rates were 69.52%,77.14%and 89.52%,respectively.Conclusion CT,MRI and ultrasound all can be used as imaging methods for preoperative diagnosis of endometrial cancer staging.They can provide basis for the formulation of surgical schemes for patients with endometrial cancer before surgery,in which MRI has the highest diagnostic efficacy.
作者
方勇超
陈燕
姜帆
张艳
张果
王强
FANG Yong-chao;CHEN Yan;JIANG Fan;ZHANG Yan;ZHANG Guo;WANG Qiang(Department of Radiology,Xindu District People's Hospital,Chengdu 610500,China)
出处
《实用医院临床杂志》
2020年第5期100-103,共4页
Practical Journal of Clinical Medicine
