摘要
目的探讨64排螺旋CT对宫颈癌转移淋巴结的价值。方法回顾性分析80例宫颈癌的CT检查结果,并与病理结果进行对照分析。结果64排螺旋CT检出淋巴结转移者19例,病理检出淋巴结转移者20例,两者重合15例。64排螺旋CT对宫颈癌转移淋巴结诊断的敏感度为75.0%,特异度为93.3%,准确率为88.8%;阳性预测值为78.9%,阴性预测值为91.8%。结论64排螺旋CT对宫颈癌转移淋巴结的诊断准确率较高,全面分析淋巴结大小以及内部密度等因素、有助于对盆腔淋巴结转移的评价,从而为临床治疗方案的选择提供依据。
Objective To investigate the diagnostic value of 64-slice spiral CT for metastatic lymph node in cervical carcinoma.Methods The results of CT scan in 80 cervical carcinoma were retrospectively analyzed and compared with pathologic findings.Results There were 19 cases with metastatic lymph node detected by 64 slice spiral CT,20 cases detected by pathology,and 15 cases were overlapped.The sensitivity of the diagnosis for metastatic lymph node in cervical carcinoma by 64-slice spiral CT was 75.0%,The specificity was 93.3%, with accuracy rate of 88.8%, positive predictive value of 78.9%, and negative predictive value of 91.8%. Conclusion The accuracy rate of 64-slice spiral CT for the diagnosis of metastatic lymph node in cervical carcinoma is higher,which can analyze the factors such as the size of lymph node and internal density of metastatic lymph node comprehensively, and which is helpful to evaluate metastatic lymph node in pelvic so as to provide the basis for the choice of clinical treatment plan.
出处
《河北医药》
CAS
2009年第15期1892-1894,共3页
Hebei Medical Journal
关键词
宫颈癌
淋巴结
螺旋CT
cervical carcinoma
lymph node
spiral CT
