子宫内膜癌的MRI影像特点及诊断价值分析

《子宫内膜癌的MRI影像特点及诊断价值分析》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、万方数据中国CT和MRI杂志2016年3月第14卷第3期总第77期论著子宫内膜癌的MRI影像特点及诊断价值分析成都市大邑县人民医院放射科(四川大邑611300)范胜坤【摘要】目的观察子宫内膜癌的磁共振(MRI)影像特点，评估MRI在子宫内膜癌中的诊断价值。方法纳入2012年3月～2014年3月我院经手术病理证实为子宫内膜癌的72例患者作为观察对象，回顾性分析其临床资料，依照国际妇产科协会(FIGO)制定的子宫内膜癌分期标准，将子宫内膜癌患者术前分期与术后病理结果进行对照，总结子宫内膜癌的MRI影像学特点及其诊断价值。结摹本组72

2、例患者，术前MRI诊断分期I期44例，II期22例，IIl期6例；术后病理分期I期48例，II期18例，Ill期6例；I期符合率为9i．67％，II期符合率为81．81％，III期符合率为100．00％。结论在子宫内膜癌的临床诊断与术前病理分期中应用MRI扫描，可准确鉴别患者子宫肌层的受侵犯程度、范围及预后状况，且术前分期符合率高，与其他诊断方式相比，操作简单，准确性高，可为术前评估提供参照，以优化治疗效果，改善患者预后。【关键词】磁共振：子宫内膜癌：分期；病理【中图分类号】R445．3；R737．33【文献标识码1ADOI：l

3、0．3969／J．isn．1672—5】3】．2016．03．026通讯作者：范胜坤84·AnalysisMRIFeaturesofEndometrialCarcinomaanditsDiagnosticValueFANSheng—kun．DepartmentofRadiology，DayiPeople’SHospital，Dayi611300，SichuanProvince，China【AbsI妇ctlObjectiveTosulnnlarizethemagneticresonanceimaging(MRI)featuresa

4、ndtOassessthediagnosticvalueofmagneticresonanceimaginginendometrialcarcinoma．^fe吐协凼72patientswithendometrialcarcinomacomfirmedbysurgeryandpathologyadnfittedintothehospitalfromMarch2012tOMarch2014wereselectedastheresearchobject．Theclinicaldatumofthepatientswereretrosp

5、ectivelyanalyzed．Accordingtothestagingcriteriaofendometrialcarcinomamadebyintemationalfederationofgynecologyandobstetrics(HGO)，theresultsofpreoperativesta舀ngandpostoperativepathologyofthepatientswerecomparedandtheMRIfeaturesanditsdiagnosticvalueofendometrialcarcinoma

6、weresummerized．R础／tyAmongthe72patients，therewere44casesofstageI，22casesofstageIIand6casesofstageIIIinpreoperativeMRIstaging；48casesofstageI，18casesofstageIIand6casesofstageIIIinpostoperativepathologicstaging；thecoincidencerateofstage1was91．67％，stageII81．81％andstageII

7、I100％．CondudonIntheclinicaldiagnosisandpreoperativepathologicalstagingofendometrialcarcinoma，tOadoptMRIscanningcanaccuratelyidentifythedegreeofmesometriuminvasion，rangeandprognosiswithhighpreoperativestagingrate．Comparedwithotherdiagnosticmethods，itissimpletOoperatea

8、ndofhighaccuracy．Itcanprovideareferenceforpreoperativeevaluationtooptimizetreatmenteffect，improvingtheprognosisofpatients．噼呵删Magnet