摘要
目的探讨超声联合CT在宫颈癌中的鉴别诊断价值。方法选取2017年1月至2019年6月间延安市中医医院收治的135例宫颈占位性病变患者,其中65例宫颈癌患者纳入宫颈癌组,70例宫颈良性病变患者纳入良性组。两组患者均采用超声联合CT诊断,记录影像学特征,判断鉴别诊断价值。结果宫颈癌组患者病灶微钙化、内部回声不均匀、侧方声影、回声衰减、边界不清晰和形态不规则等比例均高于良性组,差异均有统计学意义(均P <0. 05)。宫颈癌组患者开始灌注时间、开始灌注强度和峰值时间都少于良性组,峰值强度高于良性组,差异均有统计学意义(均P <0. 05)。宫颈癌组患者分叶征、锯齿征、毛刺征和空泡征等比例均高于良性组,差异均有统计学意义(均P <0. 05)。超声联合CT鉴别诊断宫颈癌64例,宫颈良性病变71例,超声联合CT在宫颈癌中鉴别诊断敏感性与特异性分别为98. 4%(63/64)和97. 2%(69/71)。结论超声联合CT在宫颈癌的应用中具有很高的敏感性与特异性,可促进早期宫颈癌变检出。
Objective To investigate the values of ultrasound combined with CT in the differential diagnosis of cervical cancer. Methods From January 2017 to June 2019,135 patients with cervical spaceoccupying lesions treated at Yanan Hospital of Traditional Chinese Medicine were selected. Among them,65 patients with cervical cancer were included in the cervical cancer group and 70 patients with benign cervical lesions were included in the benign group. All the patients were given ultrasound combined with CT diagnosis. The imaging features were recorded to judge the values of differential diagnosis. Results The microcalcification,internal echo unevenness,lateral acoustic shadow,echo attenuation,unclear boundary and irregular shape were significantly higher in the cervical cancer group than in the benign group( all P <0. 05). The initial perfusion time,initial perfusion intensity and peak time were significantly lower in the cervical cancer group than in the benign group( all P < 0. 05),and the peak intensity were significantly higher than in the cervical cancer group than in the benign group( all P < 0. 05). The proportion of lobulated sign,saw tooth sign,burr sign and vacuole sign were significantly higher in cervical cancer group than that in benign group( all P < 0. 05). Among the 135 patients,64 cervical cancer and 71 benign cervical lesions were detected by ultrasound combined with CT. The sensitivity and specificity of ultrasound combined with CT for cervical cancer were 98. 4%( 63/64) and 97. 2%( 69/71),respectively. Conclusion Ultrasound combined with CT for cervical cancer shows high sensitivity and specificity,which can promote the early detection of cervical cancer.
作者
王婧
王莉
WANG Jing;WANG Li(Department of Ultrasound, Yan'an Hospital of Traditional Chinese Medicine, Yan'an 716000, China;Department of Ultrasound, Yuyang District Maternal and Child Health Hospital, Yulin 719000, China)
出处
《中国肿瘤临床与康复》
2019年第7期841-843,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
超声
CT
宫颈肿瘤
敏感性
特异性
Ultrasound
CT
Cervical neoplasms
Sensitivity
Specificity
作者简介
王婧,女,主治医师,主要从事超声诊断专业;通信作者:王莉,Email:929972843@qq.com.
