CAJ | 학술논문

目的：探讨 MRI 对宫颈癌术前分期的诊断价值。方法回顾性分析经手术病理证实的76例宫颈癌患者术前MRI 常规、增强扫描和扩散加权成像表现，并进行分期诊断，研究与手术病理结果的一致性。结果MRI 术前分期总准确度为88．16％；ⅠB 及ⅡA 期 MRI 诊断和手术病理结果有极佳的一致性；ⅡB 为中度一致；Ⅲ、ⅣA 期符合率为100％。结论MRI 较好显示宫颈癌的浸润程度及范围，并进行较准确分期。
목적：탐토 MRI 대궁경암술전분기적진단개치。방법회고성분석경수술병리증실적76례궁경암환자술전MRI 상규、증강소묘화확산가권성상표현，병진행분기진단，연구여수술병리결과적일치성。결과MRI 술전분기총준학도위88．16％；ⅠB 급ⅡA 기 MRI 진단화수술병리결과유겁가적일치성；ⅡB 위중도일치；Ⅲ、ⅣA 기부합솔위100％。결론MRI 교호현시궁경암적침윤정도급범위，병진행교준학분기。
Objective To investigate the diagnosis value of MRI in detecting the preoperative staging of cervical carcinoma. Method With the retrospective analysis of the expression of MRI scan, enhancement scan and DWI of 76 patients with cervical canc-er who were confirmed by pathology before the operation, staging diagnosis was conducted to study the consistency with surgical patho-logic report.Results The total accuracy of MRI in diagnosing the preoperative staging was 88.16%.The diagnosis result of MRI was tremendously consistent with the postoperative pathological results In Stage and ⅡA, moderately consistent with Stage ⅡB, and fully consistent with Stage Ⅲ and Ⅳ.Conclusion MRI imaging was superior to show the infiltration level and extension of cervical carci-noma, and to stage accurately.