中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
16期
122-123,126
,共3页
子宫内膜癌%磁共振成像%术前诊断%肌层浸润%宫颈侵犯
子宮內膜癌%磁共振成像%術前診斷%肌層浸潤%宮頸侵犯
자궁내막암%자공진성상%술전진단%기층침윤%궁경침범
Endometrial carcinoma%Magnetic resonance imaging%Preoperative diagnosis%Myometrial invasion%Cervical invasion
目的：探讨磁共振在术前诊断子宫内膜癌肌层浸润及宫颈侵犯中的意义。方法选择本院2011年4月~2014年4月收治的子宫内膜癌患者38例，均经术后病理组织学检查证实，所选患者均行磁共振检查，分析磁共振诊断对子宫内膜癌肌层浸润和宫颈侵犯诊断的灵敏度、特异度、阳性预测值及阴性预测值。结果磁共振对肌层浸润诊断的准确率为86.8%，漏诊率为25.0%，误诊率为10.0%。磁共振检查、预测深肌层浸润的灵敏度为75.0%，特异度为90.0%，阳性预测值为66.7%，阴性预测值为93.1%。磁共振诊断宫颈侵犯准确率为65.8%，漏诊率为66.7%，误诊率为26.5%。磁共振诊断宫颈侵犯的灵敏度为33.3%，特异度为71.9%，阳性预测值为18.1%，阴性预测值为85.1%。结论磁共振在术前诊断子宫内膜癌的肌层浸润及宫颈侵犯有助于术式选择，具有重要临床检查意义。
目的：探討磁共振在術前診斷子宮內膜癌肌層浸潤及宮頸侵犯中的意義。方法選擇本院2011年4月~2014年4月收治的子宮內膜癌患者38例，均經術後病理組織學檢查證實，所選患者均行磁共振檢查，分析磁共振診斷對子宮內膜癌肌層浸潤和宮頸侵犯診斷的靈敏度、特異度、暘性預測值及陰性預測值。結果磁共振對肌層浸潤診斷的準確率為86.8%，漏診率為25.0%，誤診率為10.0%。磁共振檢查、預測深肌層浸潤的靈敏度為75.0%，特異度為90.0%，暘性預測值為66.7%，陰性預測值為93.1%。磁共振診斷宮頸侵犯準確率為65.8%，漏診率為66.7%，誤診率為26.5%。磁共振診斷宮頸侵犯的靈敏度為33.3%，特異度為71.9%，暘性預測值為18.1%，陰性預測值為85.1%。結論磁共振在術前診斷子宮內膜癌的肌層浸潤及宮頸侵犯有助于術式選擇，具有重要臨床檢查意義。
목적：탐토자공진재술전진단자궁내막암기층침윤급궁경침범중적의의。방법선택본원2011년4월~2014년4월수치적자궁내막암환자38례，균경술후병리조직학검사증실，소선환자균행자공진검사，분석자공진진단대자궁내막암기층침윤화궁경침범진단적령민도、특이도、양성예측치급음성예측치。결과자공진대기층침윤진단적준학솔위86.8%，루진솔위25.0%，오진솔위10.0%。자공진검사、예측심기층침윤적령민도위75.0%，특이도위90.0%，양성예측치위66.7%，음성예측치위93.1%。자공진진단궁경침범준학솔위65.8%，루진솔위66.7%，오진솔위26.5%。자공진진단궁경침범적령민도위33.3%，특이도위71.9%，양성예측치위18.1%，음성예측치위85.1%。결론자공진재술전진단자궁내막암적기층침윤급궁경침범유조우술식선택，구유중요림상검사의의。
Objective To explore the significance of magnetic resonance imaging (MRI) in the preoperative diagnosis of myometrial invasion and cervical invasion of endometrial carcinoma. Methods 38 patients with endometrial cancer treated in our hospital from April 2011 to April 2014 were selected,and they were confirmed by postoperative histopathologic examination.The selected patients were given MRI examination.The sensitivity,specificity,positive pre-dictive value and negative predictive value of MRI diagnosis for myometrial invasion and cervical invasion of endome-trial carcinoma was analyzed respectively. Results The accurate rate of diagnosis of myometrial invasion using MRI was 86.8%,the rate of missed diagnosis was 25.0%,the rate of misdiagnosis was 10.0%.The sensitivity of deep myometrial invasion by the diagnosis of MRI was 75.0%,the specificity was 90.0%,the positive predictive value was 66.7%,the neg-ative predictive value was 93.1%.The accurate rate of diagnosis of cervical invasion by MRI was 65.8%,the rate of missed diagnosis was 66.7%,the rate of misdiagnosis was 26.5%.The sensitivity of cervical invasion by the diagnosis of MRI was 33.3%,the specificity was 71.9%,the positive predictive value was18.1%,the negative predictive value was 85.1%. Conclusion MRI in the preoperative diagnosis of myometrial invasion and cervical invasion for endometrial car-cinom is helpful to the selection of operating methods,and has important clinical examination significance.
