摘要
目的探究诊断鼻咽癌最有效的方式。方法随机选取2019年6月—2023年5月南京市江宁医院收治的120例疑似鼻咽癌患者为研究对象,均进行电子计算机断层扫描(computed tomography,CT)与核磁共振成像(magnetic resonance imaging,MRI)检查,以病理组织活检为金标准,分析诊断结果。结果120例疑似鼻咽癌患者中,阳性104例,阴性16例。CT诊断,真阳91例,假阳6例,真阴10例,假阴13例。MRI诊断,真阳100例,假阳1例,真阴15例,假阴4例。MRI诊断准确性为95.83%、灵敏性为96.15%、特异性为93.75%高于CT诊断的84.17%、87.50%、62.50%,差异有统计学意义(χ^(2)=9.074、5.189、4.571,P<0.05)。结论鼻咽癌患者使用MRI扫描,具有较高的诊断价值,便于及时进行治疗,临床应用价值显著。
Objective To investigate the most effective way to diagnose nasopharyngeal carcinoma.Methods 120 cases of suspected nasopharyngeal carcinoma patients admitted to Nanjing Jiangning Hospital from June 2019 to May 2023 were randomly selected as study subjects,all of which were examined by computed tomography(CT)and magnetic resonance imaging(MRI),and the diagnostic results were analyzed with pathological tissue biopsy as the gold standard.Results Among 120 patients with suspected nasopharyngeal carcinoma,104 cases were positive and 16 cases were negative.CT diagnosis,91 cases of true positive,6 cases of false positive,10 cases of true negative,13 cases of false negative.MRI diagnosis,100 cases of true positive,1 case of false positive,15 cases of true negative,4 cases of false negative.MRI diagnosis accuracy of 95.83%,sensitivity of 96.15%,specificity of 93.75%,which were higher than CT diagnosis,84.17%,87.50%,62.50%,and the difference was statistically significant(χ^(2)=9.074,5.189,4.571,P<0.05).Conclusion The use of MRI scanning in nasopharyngeal carcinoma patients has high diagnostic value,facilitates timely treatment,and has significant clinical application value.
作者
刘娟
王兴顺
LIU Juan;WANG Xingshun(Department of Imaging,Nanjing Jiangning Hospital,Nanjing,Jiangsu Province,211500 China)
出处
《世界复合医学》
2023年第11期73-75,共3页
World Journal of Complex Medicine
关键词
鼻咽癌
电子计算机断层扫描
核磁共振成像
诊断结果
Nasopharyngeal carcinoma
Electron computed tomography
Magnetic resonance imaging
Diagnostic results
作者简介
刘娟(1988-),女,本科,主管技师,研究方向为医学影像技术;通信作者:王兴顺(1976-),男,本科,副主任技师,研究方向为医学影像技术,E-mail:2840866143@qq.com。
