摘要
目的比较多层螺旋CT (MSCT)与磁共振成像(MRI)对鼻咽癌的诊断效果及其临床分期价值。方法分析我院经病理检查确诊为鼻咽癌的80例患者MS CT和MRI影像资料,根据2 017年鼻咽癌分期以MRI为标准,评估MSCT与MRI对鼻咽癌临床分期诊断价值。结果 MSCT对鼻腔、鼻窦、翼内肌、翼外肌、颅底和颅内侵犯检出情况与MRI无显著差异(P> 0.05),对淋巴结转移检出率小于MRI(P<0.05)。MRI临床分期结果:Ⅰ期8例,Ⅱ期19例,Ⅲ期24例,Ⅳ期29例;MSCT临床分期结果:Ⅰ期8例,Ⅱ期19例,Ⅲ期27例,IV期26例。8 0例鼻咽癌患者中MSCT和MRI对临床分期诊断一致者70例,以MRI为对照,MSCT对鼻咽癌临床分期诊断总准确度为87.50%。结论 MSCT和MRI对鼻咽癌均有较高的诊断价值,其中MRI对鼻咽癌临床分期诊断准确度优于MSCT。
Objective To compare the diagnostic effect and clinical staging value of multislice spiral CT(MSCT) and magnetic resonance imaging(MRI) for nasopharyngeal carcinoma.Methods The image data of MSCT and MRI from 80 patients diagnosed with nasopharyngeal carcinoma by pathology were analyzed.According to the stage of nasopharyngeal carcinoma in 2017.Taking MRI as the standard,the diagnostic value for clinical staging of nasopharyngeal carcinoma by MSCT and MRI was evaluated.Results There was no significant difference in the detection of nasal cavity,sinus,medial pterygoid,lateral pterygoid,skull base and intracranial invasion by MRI and MSCT(P>0.05).The detection rate of lymph node metastasis was less than that by MRI(P<0.05).Clinical staging results by MRI:8 cases in stage Ⅰ,19 cases in stage Ⅱ,24 cases in stage Ⅲ and 29 cases in stage Ⅳ.Clinical staging results by MSCT:8 cases in stage I,19 cases in stageⅡ,27 cases in stage Ⅲ and 26 cases in stage IV.Among 80 patients with nasopharyngeal carcinoma,there were 70 cases with consistent diagnosis of clinical staging by MSCT and MRI.Taking MRI as the control,the overall accuracy for the diagnosis of clinical staging of nasopharyngeal carcinoma by MSCT was 87.50%.Conclusion MSCT and MRI have high diagnostic value for NPC,and MRI is better than MSCT in clinical staging.
作者
李达深
LI Da-shen(Department of Otorhinolaryngology Head and Neck Surgery,Qionghai Hospital of Traditional Chinese Medicine,Qionghai 571400,Hainan Province,China)
出处
《中国CT和MRI杂志》
2020年第11期39-41,共3页
Chinese Journal of CT and MRI
关键词
多层螺旋CT
磁共振成像
鼻咽癌
临床分期
Multi-slice Spiral CT
Magnetic Resonance Imaging
Nasopharyngeal Carcinoma
Clinical Staging
