B超CT与MRI在子宫内膜癌手术前肌层浸润及淋巴结转移诊断中的价值研究

目的 探讨B超、CT及MRI在子宫内膜癌手术前肌层浸润及淋巴结转移诊断中的价值。方法 117例子宫内膜癌患者均进行了B超检查,其中40例患者实施了CT检查, 43例患者实施了MRI检查。结果 B超对肌层浸润和淋巴结转移的诊断结果与病理检查结果的一致性较差。CT对肌层浸润的诊断与病理检查结果一致性较低(K=0.326),而对淋巴结转移的诊断结果与病理检查结果一致性较高(K=0.702);MRI对肌层浸润和淋巴结转移的诊断结果与与病理检查结果的一致性较好。结论 MRI对子宫内膜癌患者肌层浸润和淋巴结转移有较高的临床诊断价值。

Value of B ultrasound, CT and MRI on diagnosis of myometrial invasion and lymph node metastasis before surgery of patients with endometrial cancer

Objective To investigate the clinical value of B ultrasound, CT and MRI on the diagnosis of muscle invasion and lymph node metastasis before surgery of patients with endometrial cancer. Methods A total of 117 patients with endometrial cancer underwent B-mode ultrasound, of whom 40 patients with CT scan and 43 patients with MRI examination. Results The result of consistency analysis showed that the consistence between B ultrasound and pathological examination on myometrial invasion and lymph node metastasis was poor.The result of consistency analysis showed that the consistence between CT and pathological examination on myometrial invasion was poor(K=0.326), and it was good of the consistence between between the CT and pathological examination on lymph node metastasis. The consistence between MRI and pathological examination on myometrial invasion and lymph node metastasis was good (K=0.698). Conclusion MRI has high diagnostic value on the diagnosis of muscle invasion lymph node metastasis in patients with endometrial carcinoma, thus it is worth clinical application.