中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
16期
26-27
,共2页
阴道镜%MRI%宫颈癌%宫颈上皮内瘤变%病理分期%CIN
陰道鏡%MRI%宮頸癌%宮頸上皮內瘤變%病理分期%CIN
음도경%MRI%궁경암%궁경상피내류변%병리분기%CIN
MRI%Colposcopy%Cervical cancer%Cervical intraepithelial neoplasia%Staging%CIN
目的：探讨阴道镜联合MRI对宫颈癌及宫颈上皮内瘤变的诊断价值。方法对574例进行宫颈癌筛查的患者，采用阴道镜及活检方法进行宫颈病变检测，活检病理检测结果为宫颈癌的患者进行MRI诊断检测，诊断后行手术病理分期检测，对比各个检测结果。结果阴道镜诊断宫颈病变总正确率为85.02%，诊断CIN的正确率为90.48%，诊断宫颈癌的正确率为100%，阴道镜诊断灵敏度为82.89%，特异性为92.61%，误诊率为7.39%，漏诊率为17.11%；MRI诊断检出率为96.87%。与手术病理分期比较，MRI病理分期符合率81.25%高于临床病理分期符合率62.50%，P＜0.05，差异具有统计学意义。结论阴道镜对宫颈病变诊断具有较高的正确率，可作为筛查宫颈癌的有效方法，MRI对早期宫颈癌病理分期符合率优于临床病理分期，可为早期宫颈癌治疗方案提高有效的依据。
目的：探討陰道鏡聯閤MRI對宮頸癌及宮頸上皮內瘤變的診斷價值。方法對574例進行宮頸癌篩查的患者，採用陰道鏡及活檢方法進行宮頸病變檢測，活檢病理檢測結果為宮頸癌的患者進行MRI診斷檢測，診斷後行手術病理分期檢測，對比各箇檢測結果。結果陰道鏡診斷宮頸病變總正確率為85.02%，診斷CIN的正確率為90.48%，診斷宮頸癌的正確率為100%，陰道鏡診斷靈敏度為82.89%，特異性為92.61%，誤診率為7.39%，漏診率為17.11%；MRI診斷檢齣率為96.87%。與手術病理分期比較，MRI病理分期符閤率81.25%高于臨床病理分期符閤率62.50%，P＜0.05，差異具有統計學意義。結論陰道鏡對宮頸病變診斷具有較高的正確率，可作為篩查宮頸癌的有效方法，MRI對早期宮頸癌病理分期符閤率優于臨床病理分期，可為早期宮頸癌治療方案提高有效的依據。
목적：탐토음도경연합MRI대궁경암급궁경상피내류변적진단개치。방법대574례진행궁경암사사적환자，채용음도경급활검방법진행궁경병변검측，활검병리검측결과위궁경암적환자진행MRI진단검측，진단후행수술병리분기검측，대비각개검측결과。결과음도경진단궁경병변총정학솔위85.02%，진단CIN적정학솔위90.48%，진단궁경암적정학솔위100%，음도경진단령민도위82.89%，특이성위92.61%，오진솔위7.39%，루진솔위17.11%；MRI진단검출솔위96.87%。여수술병리분기비교，MRI병리분기부합솔81.25%고우림상병리분기부합솔62.50%，P＜0.05，차이구유통계학의의。결론음도경대궁경병변진단구유교고적정학솔，가작위사사궁경암적유효방법，MRI대조기궁경암병리분기부합솔우우림상병리분기，가위조기궁경암치료방안제고유효적의거。
Objective To explore the diagnostic value of colposcopy combined with MRI on cervical cancer and cervical intraepithelial neoplasia. Methods 574 cases of cervical cancer screening of patients with colposcopy and biopsy method for detection of cervical lesions, biopsy pathological examination results for MRI diagnostic test for cervical cancer patients after operation pathologic staging diagnosis, detection, and various test results contrast. Results The colposcopy in the diagnosis of cervical lesions: the total accuracy rate was 85.02%, the diagnostic accuracy rate of CIN was 90.48%, the correct rate of diagnosis of cervical cancer was 100%; colposcopy diagnostic sensitivity was 82.89%, speciifcity was 92.61%, the misdiagnosis rate was 7.39%, the misdiagnosis rate was 17.11%;the detection rate of MRI diagnosis 96.87%; compared with the operation and pathological MRI staging, pathological staging rate 81.25% was higher than the clinical pathological staging rate 62.50%, P<0.05, had difference statistically significance. Conclusion The correct rate of colposcopy for cervical lesions diagnosed with high, can be used as an effective method of screening for cervical cancer;MRI for early cervical cancer pathological staging rate was better than the clinical pathological stage, can improve the effective basis for the early treatment of cervical cancer.
