CT对宫颈癌盆腔淋巴结转移的诊断价值

doi:10.3969/j.issn.1671-7171.2022.04.015

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摘要【目的】探讨计算机断层扫描(CT)对宫颈癌盆腔淋巴结转移的诊断价值。【方法】回顾性分析2018年1月至2020年1月在本院诊治的94例宫颈癌患者的临床资料,根据患者有无盆腔淋巴结转移分为转移组与未转移组, 分析CT特征指标单个淋巴结直径、淋巴结呈圆形、可见中央坏死、可见包膜外侵及联合对宫颈癌盆腔淋巴转移的诊断价值。【结果】未转移组患者单个淋巴结直径小于转移组(P<0.05),淋巴结呈圆形、可见中央坏死、可见包膜外侵比例均低于转移组(P<0.05)。CT各指标中单个淋巴结直径≥1.0 cm诊断宫颈癌盆腔淋巴结转移的敏感度、准确率最高,分别为90.48%、89.36%;出现中央坏死与包膜外侵诊断宫颈癌盆腔淋巴结转移的特异性最高,均为96.77%,联合各指标诊断宫颈癌盆腔淋巴结转移的敏感度为98.41%、特异性为96.77%、准确率为97.87%,CT诊断结果与病理诊断金标准的一致性为优(P<0.05);CT各指标中单个淋巴结直径≥1.0 cm对宫颈癌盆腔淋巴结转移的诊断价值最高,CT联合指标对宫颈癌盆腔淋巴结转移具有较高诊断价值。【结论】CT对宫颈癌盆腔淋巴结转移具有较高的诊断价值,可为临床诊断、疗效评估等提供参考依据。

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	钟社兰
	赵琳

关键词 ：宫颈肿瘤/影像诊断, 淋巴转移, 体层摄影术,螺旋计算机

Abstract：【Objective】To investigate the diagnostic value of computed tomography (CT) in pelvic lymph node metastasis of cervical cancer. 【Methods】The clinical data of 94 patients with cervical cancer diagnosed and treated in our hospital from January 2018 to January 2020 were retrospectively analyzed. According to whether the patients had pelvic lymph node metastasis, they were divided into metastasis group and non metastasis group. The CT characteristic indexes, such as the diameter of single lymph node, round lymph node, visible central necrosis, visible envelope invasion and the diagnostic value of combination in pelvic lymph node metastasis of cervical cancer were analyzed. 【Results】The diameter of single lymph node in the non metastasis group was smaller than that in the metastasis group (P<0.05), and the proportion of round lymph node, central necrosis and envelope invasion in the non metastasis group was lower than that in the metastasis group (P<0.05). The sensitivity and accuracy of single lymph node diameter ≥ 1.0 cm in the diagnosis of pelvic lymph node metastasis of cervical cancer were the highest, 90.48% and 89.36% respectively; The specificity of central necrosis and envelope invasion in the diagnosis of pelvic lymph node metastasis of cervical cancer was the highest, both of which were 96.77%. The sensitivity, specificity and accuracy of combined indexes in the diagnosis of pelvic lymph node metastasis of cervical cancer were 98.41%, 96.77% and 97.87%, respectively. The consistency between CT diagnosis results and pathological diagnosis gold standard was excellent (P<0.05); Among the CT indexes, the diameter of a single lymph node ≥ 1.0 cm has the highest diagnostic value for pelvic lymph node metastasis of cervical cancer, and the combined CT indexes have high diagnostic value for pelvic lymph node metastasis of cervical cancer.【Conclusion】CT has high diagnostic value for pelvic lymph node metastasis of cervical cancer, and can provide reference basis for clinical diagnosis and curative effect evaluation.

Key words： Uterine Cervical Neoplasms/DG Lymphatic Metastasis Tomography, Spiral Computed

收稿日期: 2021-12-17

中图分类号:

R737.33

通讯作者: *E-mail:zl39210@126.com

引用本文:

钟社兰, 赵琳. CT对宫颈癌盆腔淋巴结转移的诊断价值[J]. 医学临床研究, 2022, 39(4): 532-534.
ZHONG She-lan, ZHAO Lin. Diagnostic Value of CT in Pelvic Lymph Node Metastasis of Cervical Carcinoma. JOURNAL OF CLINICAL RESEARCH, 2022, 39(4): 532-534.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2022.04.015 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2022/V39/I4/532