中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
5期
885-887
,共3页
正电子发射型计算机断层显像%核磁共振成像%妇科%恶性肿瘤%诊断
正電子髮射型計算機斷層顯像%覈磁共振成像%婦科%噁性腫瘤%診斷
정전자발사형계산궤단층현상%핵자공진성상%부과%악성종류%진단
PET/CT%magnetic resonance imaging(MRI)%gynecologic%malignant tumor%diagnosis
目的：探讨正电子发射计算机断层显像（ PET/CT）与核磁共振成像（ MRI）在妇科恶性肿瘤中的诊断价值及意义。方法选取2010年2月至2013年2月在武警浙江省总队医院应用PET/CT 与MRI检查的妇科恶性肿瘤患者40例，比较分析两种检查对妇科恶性肿瘤的诊断价值。结果 PET/CT与MRI检查对原发病灶的检出率分别为87．50％和60．00％，差异无统计学意义（χ2＝0．27，P＞0．05）；40例患者中PET/CT对淋巴结转移病例诊断敏感性、准确率均高于MRI，差异具有统计学意（χ2值分别为4．59、8．66，均P＜0．05）；PET/CT与MRI共同检出转移的淋巴结共98个，与手术证实淋巴结数目107个相比，联合检出率为91．58％；经比较PET/CT检出率高于MRI，差异具有统计学意义（χ2＝43．19，P＜0．01）。结论 PET/CT检查是一种安全、有效、准确率、敏感性高的诊断方法，并且能准确的检出妇科恶性肿瘤转移的淋巴结数目，对临床妇科恶性肿瘤的诊治具有重要的应用价值。
目的：探討正電子髮射計算機斷層顯像（ PET/CT）與覈磁共振成像（ MRI）在婦科噁性腫瘤中的診斷價值及意義。方法選取2010年2月至2013年2月在武警浙江省總隊醫院應用PET/CT 與MRI檢查的婦科噁性腫瘤患者40例，比較分析兩種檢查對婦科噁性腫瘤的診斷價值。結果 PET/CT與MRI檢查對原髮病竈的檢齣率分彆為87．50％和60．00％，差異無統計學意義（χ2＝0．27，P＞0．05）；40例患者中PET/CT對淋巴結轉移病例診斷敏感性、準確率均高于MRI，差異具有統計學意（χ2值分彆為4．59、8．66，均P＜0．05）；PET/CT與MRI共同檢齣轉移的淋巴結共98箇，與手術證實淋巴結數目107箇相比，聯閤檢齣率為91．58％；經比較PET/CT檢齣率高于MRI，差異具有統計學意義（χ2＝43．19，P＜0．01）。結論 PET/CT檢查是一種安全、有效、準確率、敏感性高的診斷方法，併且能準確的檢齣婦科噁性腫瘤轉移的淋巴結數目，對臨床婦科噁性腫瘤的診治具有重要的應用價值。
목적：탐토정전자발사계산궤단층현상（ PET/CT）여핵자공진성상（ MRI）재부과악성종류중적진단개치급의의。방법선취2010년2월지2013년2월재무경절강성총대의원응용PET/CT 여MRI검사적부과악성종류환자40례，비교분석량충검사대부과악성종류적진단개치。결과 PET/CT여MRI검사대원발병조적검출솔분별위87．50％화60．00％，차이무통계학의의（χ2＝0．27，P＞0．05）；40례환자중PET/CT대림파결전이병례진단민감성、준학솔균고우MRI，차이구유통계학의（χ2치분별위4．59、8．66，균P＜0．05）；PET/CT여MRI공동검출전이적림파결공98개，여수술증실림파결수목107개상비，연합검출솔위91．58％；경비교PET/CT검출솔고우MRI，차이구유통계학의의（χ2＝43．19，P＜0．01）。결론 PET/CT검사시일충안전、유효、준학솔、민감성고적진단방법，병차능준학적검출부과악성종류전이적림파결수목，대림상부과악성종류적진치구유중요적응용개치。
Objective To explore the significance of PET/CT and MRI in diagnosing gynecologic malignant tumors.Methods Forty patients with gynecological malignant tumors accepting PET/CT or MRI examination in Armed Police Corps Hospital of Zhejiang Province were selected from February 2010 to February 2013, and the diagnostic value of two methods on malignant tumors was compared.Results The detection rate of PET/CT and MRI for primary lesion was 87.50%and 60.00%, respectively, and there was no significant difference (χ2 =0.27, P>0.05).The sensitivity and accuracy of PET/CT in diagnosing lymph node metastasis cases were higher than those of MRI, and the differences were significant (χ2 value was 4.59 and 8.66, respectively, both P<0.05).Totally 98 metastatic lymph nodes were detected by the combination of PET/CT and MRI methods, and there were 107 confirmed by surgery.The detection rate of combined examination was 91.58%, which was higher than that of MRI with significant difference (χ2 =43.19, P<0.01).Conclusion PET/CT examination for gynecologic malignant tumors is safe, effective, accurate and sensitive.It can detect the accurate number of metastatic lymph nodes, which is very important to the diagnosis and treatment of gynecological malignant tumors in clinics.
