CAJ | 학술논문

目的：对宫颈癌的普通磁共振成像(MRI)和扩散加权成像(DWI)特点进行探讨,探究DWI对宫颈癌诊断和治疗的意义。方法：选取我院住院患者作为临床资料,起止时间为2010年5月~2012年7月。经各项相关检查诊断为宫颈癌的患者76例作为宫颈癌组,选取非宫颈癌其他妇科疾病住院患者69例作为对照组。对照组采用DWI方式扫描,宫颈癌组分别采用普通MRI和DWI两种扫描方式进行扫描。收集两组DWI得到的表观扩散系数(ADC)值与相对表观扩散系数(rADC)值,及两种方式得到的宫颈癌组76例患者各个分期的计数资料,并进行相关统计学分析。结果：宫颈癌组的ADC平均值较对照组高0.66×10-3mm3/s,rADC平均值较对照组高0.40×10-3mm3/s,具有明显差异(P<0.05)；DWI较常规MRI检出例数多11例,在I期和II期有明显差异(P<0.05)。结论：DWI较普通MRI,对早期宫颈癌的诊断高,对指导早期宫颈癌的诊断和治疗过程有重要意义。
목적：대궁경암적보통자공진성상(MRI)화확산가권성상(DWI)특점진행탐토,탐구DWI대궁경암진단화치료적의의。방법：선취아원주원환자작위림상자료,기지시간위2010년5월~2012년7월。경각항상관검사진단위궁경암적환자76례작위궁경암조,선취비궁경암기타부과질병주원환자69례작위대조조。대조조채용DWI방식소묘,궁경암조분별채용보통MRI화DWI량충소묘방식진행소묘。수집량조DWI득도적표관확산계수(ADC)치여상대표관확산계수(rADC)치,급량충방식득도적궁경암조76례환자각개분기적계수자료,병진행상관통계학분석。결과：궁경암조적ADC평균치교대조조고0.66×10-3mm3/s,rADC평균치교대조조고0.40×10-3mm3/s,구유명현차이(P<0.05)；DWI교상규MRI검출례수다11례,재I기화II기유명현차이(P<0.05)。결론：DWI교보통MRI,대조기궁경암적진단고,대지도조기궁경암적진단화치료과정유중요의의。
Objective:To explore the features of normal magnetic resonance imaging (MRI)and diffusion weighted imaging (DWI),and to explore the significance of DWI in diagnosis and treatment of cervical cancer.Methods:Patients during May 2010~July 2012 in our hospital were chosen for clinical data. 76 cases of the patients diagnosised as cervical cancer after relevant examinations were chosen for the cervical cancer group, and 69 cases of patients with other gynecological diseases rather than cervical cancer were chosen for the control group. The control group was treated with DWI scanning, and the cervical cancer group was treated with MRI and DWI scanning modes. The apparent diffusion coefficient (ADC) values、the relative apparent diffusion coefficient (rADC) value of the two groups and count data of all stages from 76 cases in the cervical cancer group were collected. Related statistical analysis was taken.Results:The average ADC value of the cervical cancer group was higher than the control group by 0.66×10-3mm3/s, and the The average rADC value of the cervical cancer group was higher than the control group by 0.40×10-3mm3/s,with significant difference (P<0.05);DWI was higher than the conventional MRI detection by multiple 11 cases, there was a significant difference in I and II phase (P<0.05).Conclusion:Compared with the general MRI, DWI has better diagnosis of early cervical cancer, which is important for the diagnosis and treatment of early cervical cancer.