[1]马　辉,张　燕.磁共振成像在宫颈癌分期及腹腔和盆腔淋巴结转移诊断中的价值[J].新乡医学院学报,2016,33(10):898-900.[doi:10.7683/xxyxyxb.2016.10.016]
　MA Hui,ZHANG Yan.Diagnostic value of magnetic resonance imaging in the staging of cervical cancer and the celiac and pelvic lymph node metastasis[J].Journal of Xinxiang Medical University,2016,33(10):898-900.[doi:10.7683/xxyxyxb.2016.10.016]
点击复制

磁共振成像在宫颈癌分期及腹腔和盆腔淋巴结转移诊断中的价值
分享到：

《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年10
页码:
898-900
栏目:
临床研究
出版日期:
2016-10-05

文章信息/Info

Title:
Diagnostic value of magnetic resonance imaging in the staging of cervical cancer and the celiac and pelvic lymph node metastasis
作者:
马　辉; 张　燕
（宝鸡市中医医院影像科，陕西　宝鸡　721001）
Author(s):
MA Hui; ZHANG Yan
(Department of Medical Imageology,Baoji Hospital of Traditional Chinese Medicine,Baoji 721001,Shaanxi Province,China)
关键词:
磁共振成像; 宫颈癌; 淋巴结转移
Keywords:
magnetic resonance imaging; cervical cancer; lymph node metastases
分类号:
R737.33
DOI:
10.7683/xxyxyxb.2016.10.016
文献标志码:
A
摘要:
目的　探讨磁共振成像（MRI）对宫颈癌及其腹腔和盆腔淋巴结转移的诊断价值。方法　选择2012年1月至2015年12月宝鸡市中医医院收治的中晚期宫颈癌患者80例，所有患者进行MRI检查，观察患者的 MRI 表现，以病理诊断结果作为金标准，对宫颈癌MRI 分期、临床分期与手术病理分期进行比较，并观察MRI对腹腔和盆腔淋巴结转移的诊断价值。结果　行MRI扫描的80例患者均显示异常病灶。病灶T1加权像表现为低信号7例，稍高及高信号5例，等信号68 例。以宫颈癌病理分期为标准，宫颈癌MRI分期诊断准确率为95.00%（76/80），临床分期诊断准确率为57.50%（46/80），宫颈癌MRI分期诊断准确率显著高于临床分期诊断准确率（χ2=12.351，P<0.001）。MRI预测宫颈癌腹腔和盆腔淋巴结转移的特异度为96.30%（52/54），敏感度为80.77%（21/26），准确度为91.25%（73/80）。结论　MRI能对宫颈癌分期做出较为准确的判定，且对宫颈癌腹腔和盆腔淋巴结转移具有较高的诊断价值。
Abstract:
Objective　To investigate the diagnostic value of magnetic resonance imaging(MRI) in the staging of cervical cancer and the celiac and pelvic lymph node metastasis.Methods　A total of 80 patients with middle and advanced cervical cancer were selected in Baoji Hospital of Traditional Chinese Medicine from January 2012 to December 2015.All patients were performed with MRI examination,and the MRI manifestations of the patients were observed.The results of pathological diagnosis were used as gold standard,the results of MRI stage and clinical stage were compared with surgical pathologic staging of cervical cancer.And the diagnostic value of MRI in the celiac and pelvic lymph node metastasis was observed.Results　Abnormal lesions were revealed in 80 patients who underwent MRI scan.T1 weighted images showed low signal in 7 cases,slightly high and high signal in 5 cases,and isointensity signal in 68 cases.The pathological stage of cervical cancer were used as the standard,the diagnostic accuracy rate of MRI stage of cervical carcinoma was 95.00% (76/80),the diagnostic accuracy rate of MRI staging of clinical stage of cervical carcinoma was 57.50% (46/80),the diagnostic accuracy rate of MRI stage was significantly higher than that of clinical stage(χ2=12.351,P<0.001).The specificity,sensitivity and accuracy of MRI in predicting the celiac and pelvic lymph node metastasis of cervical cancer was 96.30%(52/54),80.77%(21/26) and 91.25%(73/80) respectively.Conclusion　MRI can make a more accurate judgment of the staging of cervical cancer,and it has a high diagnostic value for the celiac and pelvic lymph node metastasis of cervical cancer.

参考文献/References:

［1］　THAXTON L,WAXMAN A G.Cervical cancer prevention:immunization and screening 2015［J］.Med Clin North Am,2015,99(3):469-477.
［2］　MILLER J W,VIVIEN HANSON M D,MPA G D J,et al.From cancer screening to treatment:service delivery and referral in the National Breast and Cervical Cancer Early Detection Program［J］.Cancer,2014,120(Suppl 6):2549-2556.
［3］　欧阳汉，余小多.MRI在宫颈癌的应用进展［J］.放射学实践，2014，29（2）：124-126.
［4］　KHALIL J,KACEMI H E,AFIF M,et al.Five years′ experience treating locally advanced cervical cancer with concurrent chemoradiotherapy:results from a single institution［J］.Arch Gynecol Obstet,2015,292(5):1091-1099.
［5］　LEXA F J,GROSSMAN R I,ROSENQUIST A C.National cancer data base analysis of radiation therapy consolidation modality for cervical cancer:the impact of new technological advancements［J］.Int J Radiat Oncol Biol Phys,2014,90(5):1083-1090.
［6］　MILLER J W,PLESCIA M,EKWUEME D U.Public health national approach to reducing breast and cervical cancer disparities［J］.Cancer,2014,120(Suppl 16):2537-2539.
［7］　PARK J Y,LEE J W,PARK B K,et al.Postoperative outcomes of MR-invisible stage IB1 cervical cancer［J］.Am J Obstet Gynecol,2014,211(2):168.
［8］　VICUS D,SUTRADHAR R,LU Y,et al.The association between cervical cancer screening and mortality from cervical cancer:a population based case-control study［J］.Gynecol Oncol,2014,133(2):167-171.
［9］　余莹莹，文智.CT及MRI诊断宫颈癌淋巴结转移的价值［J］.海南医学，2014，25（4）：541-543.
［10］　袁令芹，李万湖，刘乃富，等.MRI检查在宫颈癌诊断分期中的应用价值［J］.中国辐射卫生，2014，23（6）：483-485.
［11］　黄叶才，漆云翔，任静，等.磁共振成像对宫颈癌小淋巴结转移的诊断价值和对放射治疗靶区设计的影响［J］.肿瘤防治研究，2014，41（8）：920-924.
［12］　周凯，赵红琴，施铮铮，等.磁共振检查在宫颈癌术前评估中的价值［J］.温州医学院学报，2012，42（1）：27-31.

相似文献/References:

[1]路平,梁秋冬,郑全庆.宫颈鳞癌中erbB3、erbB4基因蛋白表达与细胞凋亡和增殖的相关性研究[J].新乡医学院学报,2003,20(05):317.
[2]尚伟,刘安龙,李保庆,等.口服钆喷酸葡胺溶液行磁共振泌尿系水成像的临床应用[J].新乡医学院学报,2009,26(01):059.
[3]严 浩,蒋 蕾,刘 力.人乳头瘤病毒16/18、Bcl-2和 Survivin在宫颈癌组织中的表达[J].新乡医学院学报,2014,31(11):943.[doi:10.7683/xxyxyxb.2014.11.023]
[4]钟凯华１,徐海斌１,白素平２. 腰椎间盘退行性变磁共振成像和病理学变化对照研究 [J].新乡医学院学报,2015,32(04):314.[doi:10.7683/xxyxyxb.2015.04.007]
[5]徐静纯,王聪.长链非编码 RNA 生长停滞特异性转录因子5在宫颈癌中的作用研究进展[J].新乡医学院学报,2022,39(12):1196.[doi:10.7683/xxyxyxb.2022.12.019]
　XU Jingchun,WANG Cong.Research progress on the role of long chain non-coding RNA growth arrest special 5 in cervical cancer[J].Journal of Xinxiang Medical University,2022,39(10):1196.[doi:10.7683/xxyxyxb.2022.12.019]
[6]尚俊伟.宫颈癌及癌前病变相关危险因素分析[J].新乡医学院学报,2015,32(12):1135.
[7]李　萍,姬白嫣,魏　娟,等.藏红花素对人宫颈癌Hela细胞顺铂耐药性的影响[J].新乡医学院学报,2021,38(5):401.[doi:10.7683/xxyxyxb.2021.05.001]
　LI Ping,JI Baiyan,WEI Juan,et al.Effect of crocin on cisplatin resistance of human cervical cancer Hela cells[J].Journal of Xinxiang Medical University,2021,38(10):401.[doi:10.7683/xxyxyxb.2021.05.001]
[8]罗　晶,李婷婷,王　倩,等.液基薄层细胞学检查、人乳头状瘤病毒检测及阴道镜检查在宫颈癌前病变及宫颈癌筛查中的应用价值[J].新乡医学院学报,2021,38(5):427.[doi:10.7683/xxyxyxb.2021.05.006]
　LUO Jing,LI Tingting,WANG Qian,et al.Application value of thin-prep cytology test,human papillomavirus test and colposcopy in the screening of cervical precancerous lesions and cervical cancer[J].Journal of Xinxiang Medical University,2021,38(10):427.[doi:10.7683/xxyxyxb.2021.05.006]
[9]徐桂梅,朱花华,刘　茹,等.个性化心理干预对早期宫颈癌患者围术期心理状态及术后康复的影响[J].新乡医学院学报,2018,35(7):629.[doi:10.7683/xxyxyxb.2018.07.021]
　XU Gui-mei,ZHU Hua-hua,LIU Ru,et al.Effect of individualized psychological intervention on perioperative psychological state and postoperative rehabilitation of patients with early cervical cancer[J].Journal of Xinxiang Medical University,2018,35(10):629.[doi:10.7683/xxyxyxb.2018.07.021]
[10]段芙红,白　洁,张　勇,等.颅内横纹肌样脑膜瘤的磁共振成像及病理学特征[J].新乡医学院学报,2018,35(11):991.[doi:10.7683/xxyxyxb.2018.11.011]
　DUAN Fu-hong,BAI Jie,ZHANG Yong,et al.Magnetic resonance imaging and pathological features of intracranial rhabdoid meningiomas[J].Journal of Xinxiang Medical University,2018,35(10):991.[doi:10.7683/xxyxyxb.2018.11.011]

更新日期/Last Update: 2016-10-05