摘要
目的探讨磁共振扩散加权成像(DWI)联合经阴道超声(TVUS)对早期宫颈癌的诊断效果。方法就2008年10月到2013年2月于本院住院的拥有完整影像学检查相关资料的80名宫颈癌病人,其中临床分期有ⅠB与ⅡA期,且术前无其他治疗史,对80名病人术前进行DWI和TSUS检查,回顾分析影像学检查结果与术后病理的关系。结果预测肿瘤直径、宫颈间质浸润、淋巴结遭到牵连的精确度:DWI结果分别是81.29%、73.32%和83.99%;TVUS分别为66.67%、50.90%和78.67%;DWI联合TVUS分别为84.00%、77.87%、89.33%,对ⅠB期和ⅡA期宫颈癌的临床分期与术后再分期的总准确率为76.32%。结论术前DWI联合TVUS检查可以很好的对早期宫颈癌有可能产生的预后高危要素的原因进行预测和参考,能够增强对术前病情进行评估的精确度,在今后的治疗过程中可以对治疗方案进行更好的选择。
Objective To explore the value of the diffusion weighted DWI united with TVUS in the diagnosis of early cervical cancer. Methods To select eighty cervical cancer patients from Sep. 2008 to Jan. 2013 in our hospital who were grouped into clinical staging of I B and II A period, without any other preoperative treatment. The eighty cases received DWI and TSUS examination, and finally take a retrospective analysis of the relationship between the imaging findings and postoperative pathology. ResultsThe prediction of tumor diameter, cervical stromal invasion, lymph node involvement in accuracy rate： DWI were 81.33%, 73.33% and 84%; TVUS were 66.67%, 50.90% and 78.67%; DWI combined with TVUS were 84%, 77.87%, 89.33%, cervical cancer for clinical stage I B and II A stage and postoperation re-staging accuracy is 76.32%. Conclusion Conclusion The high risk factors for predicting prognosis may appear early cervical cancer, preoperative DWI combined with TVUS examination has important value on improving the preoperative condition assessment accuracy, and providing the reference for the selection of the best therapeutic scheme.
出处
《中国CT和MRI杂志》
2015年第11期79-81,95,共4页
Chinese Journal of CT and MRI
关键词
扩散加权成像
经阴道超声
早期宫颈癌
Diffusion Weighted Magnetic Resonance Imaging
Transvaginal Ultrasound DWI
Early Stage Cervical Cancer
