|
|
Clinical value comparaison of CT and MRI in preoperative diagnosis of invasive cervical cancer |
CHENG Liang YANG De-wen XU Chang LIU Yang YU Wen-long |
Department of Imaging,Cancer Hospital of Anshan City in Liaoning Province,Anshan 114036,China |
|
|
Abstract Objective To compare and analyze the clinical value of two imaging techniques of CT and MRI in preoperative diagnosis of invasive cervical cancer.Methods A total of 76 patients with invasive cervical cancer who were confirmed by pathological examination after operation in our hospital from September 2015 to September 2017 were selected and divided into the control group and the study group according to their different inspection methods before operation,there were 38 cases in each group.The control group received CT examination before operation,and the study group received MRI examination before operation.The imaging diagnosis operation time,preoperative dispute diagnosis,coincidence rate of preoperative diagnosis and postoperative pathological examination,misdiagnosis and missed diagnosis were compared between the two groups.ResultsThe disputes caused preoperative diagnosis in the study group was only 1 cases(2.6%),which was less than 8 cases(21.1%)in the control group,with significant difference(P<0.05).The coincidence rate of cervical cancer preoperative diagnosis and postoperative pathological examination results in the study group was 94.7%,which was higher than 63.2%in the control group,with significant difference(P<0.05).The rate of misdiagnosis and missed diagnosis in the study group were less than that in the control group,with significant difference(P<0.05).There was no significant difference in the time of imaging diagnosis between the two groups(P>0.05).Conclusion Invasive cervical cancer patients who were diagnosed by MRI before surgery,although the operation time will be extended to a certain extent,but its accuracy is higher,which can effectively reduce the misdiagnosis and missed diagnosis cases,the disputes caused by disease diagnosis can be controlled,so that more effective treatment time can be obtained for patients.
|
|
|
|
|
[1] |
卢春,程昆.浸润性宫颈癌运用多层螺旋CT和MRI进行术前分期的临床价值[J].中国数字医学,2016,11(11):28-29.
|
[2] |
邱书瑶,陆晓兰,蒋小平,等.MSCT和MRI对浸润性宫颈癌术前分期的价值对比[J].放射学实践,2012,27(1):77-79.
|
[3] |
夏盛伟,张弦,吴加满.多层螺旋CT和MRI在浸润性宫颈癌术前分期中的应用分析[J].医学影像学杂志,2014,24(4):672-674.
|
[4] |
李健,姚盛慧,杨晓明,等.CT和MRI在宫颈癌分期诊断中的临床对比分析[J].现代生物医学进展,2011,23(23):4499-4501.
|
[5] |
王敬民,石红,李冬梅,等.磁共振成像在宫颈癌临床分期中的应用价值[J].中华妇幼临床医学杂志(电子版),2012,8(5):486-490.
|
[6] |
鲁雪红,王健,刘文亚,等.磁共振扩散加权成像技术预测及评估宫颈癌放疗疗效价值[J].中华实用诊断与治疗杂志,2013,27(4):358-360.
|
[7] |
方婧,洪颖,周正扬,等.淋巴造影MRI在早期子宫颈癌淋巴转移诊断中的应用[J].中华妇产科杂志,2011,46(5):374-376.
|
[8] |
师晓艳,雷侠.宫颈液基细胞学检查与高危型HPV检测用于宫颈癌前病变并发感染早期筛查的对比研究[J].中国性科学,2017,26(1):33-35.
|
[9] |
陈红球,施晓,钱立勇.液基薄层细胞学检测技术及传统宫颈细胞涂片在宫颈癌筛查中的临床应用对比研究[J].中国性科学,2016,25(10):39-41.
|
[10] |
员周慧,余晓,徐舜,等.子宫上皮细胞稳定性FH检测在宫颈癌前病变中的临床诊断意义分析[J].中国性科学,2016,25(11):39-41.
|
[11] |
王悦,魏利.宫颈癌手术治疗进展[J].中华实用诊断与治疗杂志,2012,26(12):1147-1148.
|
[12] |
王平.宫颈癌保留盆腔自主神经的广泛子宫切除术[J].中华妇幼临床医学杂志(电子版),2012,8(3):217-218.
|
[13] |
伍军平,罗新,吴小花.宫颈癌筛查8463例结果分析[J].中华妇幼临床医学杂志(电子版),2011,7(3):161-162.[14]钟亚娟,张蔚,张文婷,等.不同剂量紫杉醇联合顺铂新辅助化疗对局部ⅠB2~ⅡB期宫颈癌疗效分析[J].中华妇幼临床医学杂志(电子版),2012,8(6):618-619.
|
[15] |
董霞,王刚.局部晚期宫颈癌新辅助化疗影响因素研究进展[J].中华临床医师杂志(电子版),2012,6(15):153-154.
|
[16] |
祝英杰,王毅,魏向群.宫颈癌根治术患者医院感染相关因素分析[J].中华医院感染学杂志,2011,21(24):5212-5214.
|
|
|
|