摘要
目的对比分析浸润性宫颈癌患者在手术前采用CT和MRI两种影像学技术诊断的临床价值。方法选取2015年9月~2017年9月在我院接受手术治疗之后经病理学检验确定为浸润性宫颈癌的76例患者,根据其在手术前接受检查方式的不同分为对照组和研究组,每组38例。对照组在术前接受CT检查;研究组在术前接受MRI检查。对比两组的影像学诊断操作时间、术前诊断原因导致的纠纷事件、宫颈癌术前诊断结果与术后病理检验结果的符合率、误诊和漏诊情况。结果研究组术前诊断原因导致的纠纷事件仅有1例(2.6%),少于对照组的8例(21.1%),差异有统计学意义(P<0.05)。研究组宫颈癌术前诊断结果与术后病理检验结果的符合率为94.7%,高于对照组的63.2%,差异有统计学意义(P<0.05)。研究组的误诊率和漏诊率均低于对照组,差异有统计学意义(P<0.05)。研究组的影像学诊断操作时间与对照组比较,差异无统计学意义(P>0.05)。结论浸润性宫颈癌患者在手术前采用MRI技术进行诊断,虽然操作时间在一定程度上会有所延长,但其准确性更高,可以有效减少误诊和漏诊情况的发生,使由于病情诊断而导致的纠纷事件得到控制,能够为患者争取更多的有效治疗时间。
Objective To compare and analyze the clinical value of two imaging techniques of CT and MRI in preoperative diagnosis of invasive cervical cancer.Methods A total of 76 patients with invasive cervical cancer who were confirmed by pathological examination after operation in our hospital from September 2015 to September 2017 were selected and divided into the control group and the study group according to their different inspection methods before operation,there were 38 cases in each group.The control group received CT examination before operation,and the study group received MRI examination before operation.The imaging diagnosis operation time,preoperative dispute diagnosis,coincidence rate of preoperative diagnosis and postoperative pathological examination,misdiagnosis and missed diagnosis were compared between the two groups.Results The disputes caused preoperative diagnosis in the study group was only 1 cases（2.6%）,which was less than 8 cases（21.1%） in the control group,with significant difference（P〈0.05）.The coincidence rate of cervical cancer preoperative diagnosis and postoperative pathological examination results in the study group was94.7%,which was higher than 63.2% in the control group,with significant difference（P〈0.05）.The rate of misdiagnosis and missed diagnosis in the study group were less than that in the control group,with significant difference（P〈0.05）.There was no significant difference in the time of imaging diagnosis between the two groups（P〉0.05）.Conclusion Invasive cervical cancer patients who were diagnosed by MRI before surgery,although the operation time will be extended to a certain extent,but its accuracy is higher,which can effectively reduce the misdiagnosis and missed diagnosis cases,the disputes caused by disease diagnosis can be controlled,so that more effective treatment time can be obtained for patients.
作者
程亮
杨德文
徐畅
刘洋
于文龙
CHENG Liang, YANG De-wen ,XU Chang, LIU Yang ,YU Wen-long(Department of Imaging,Cancer Hospital of Anshan City in Liaoning Province,Anshan 114036,Chin)
出处
《中国当代医药》
2018年第13期129-131,共3页
China Modern Medicine
关键词
浸润性
宫颈癌
磁共振成像
CT
诊断
Invasive
Cervical cancer
Magnetic resonance imaging
Computed tomography
Diagnosis
