摘要
目的探讨MRI对子宫内膜癌进行诊断并分期的临床应用价值。方法对我院经手术病理证实的21例子宫内膜癌MRI影像资料进行回顾性分析,并与病理检查结果进行对照。结果 MRI正确诊断子宫内膜癌Ⅰa期1例,Ⅰb期2例,Ⅰc期3例,Ⅱa期3例,Ⅱb期5例,Ⅲ期3例,Ⅳ期2例;诊断偏差2例,其中Ⅰb期高估为Ⅰc期、Ⅱb期低估为Ⅱa期各1例,分期诊断准确率为90.5%。结论 MRI能清晰显示子宫的解剖结构,直接显示肿瘤信号,对判断子宫肌层浸润深度及宫颈侵犯范围有较高的诊断价值,是术前诊断子宫内膜癌的可靠方法。
Objective To investigate the value of MRI in diagnosis and clinical staging of endometrial carcinoma.Methods The MRI data of 21 patients with endometrial carcinoma proved by operation and pathology in our hospital was retrospectively analyzed,and was compared with the pathologic findings.Results In the patients diagnosed as endometrial carcinoma by MRI,1 case in Ⅰa stage,2 cases in Ⅰb stage,3 cases in Ⅰc stage,3 cases in Ⅱa stage,5 cases in Ⅱb period,3 cases in Ⅲ stage,and 2 cases in Ⅳstage.2 cases was diagnosed in deviation,among whom,1 in Ⅰb stage but was overestimated asⅠc stage,and the other one in Ⅱb stage but was underestimated as II a stage,and the diagnosis accuracy rate of staging was 90.5%.Conclusion MRI can show clear uterus＇s structure and direct tumor＇s signal.It has a high diagnostic value of assessing the depth of myometrial invasion and the scope of cervix infringement as a reliable method in preoperative diagnosis.
出处
《临床误诊误治》
2011年第4期75-76,共2页
Clinical Misdiagnosis & Mistherapy
关键词
子宫内膜肿瘤
磁共振成像
肿瘤分期
Endometrial neoplasms
Magnetic resonance imaging
Neoplasm staging
