Wang F, Liu Z Y, Chen J, Yang R Q, Fan L M
Department of Obstetrics and Gynecology, Anqing Municipal Hospital, Anqing 246000, Chian.
Department of Obstetrics and Gynecology, Jilin University Second Hospital, Changchun 130041, China.
Zhonghua Yi Xue Za Zhi. 2020 Apr 14;100(14):1081-1083. doi: 10.3760/cma.j.cn112137-20191203-02633.
Investigating the diagnostic value of MRI for cervical cancer, including preoperative staging, vagina involvement and lymph node metastasis is the aim of this pape. Select 116 patients with UCC of the second hospital of JiLin University from October 2016 to April 2019. All patients accept MRI examination. Ultimately, all patients accept surgical treatment. Use SPSS19.0 software to analyze MRI results of all the patients.Using the postoperative pathological results as the golden standard in the diagnosis of cervicalcancer diagnosis. The dates from the MRI preoperative staging, preoperative clinical staging and the postoperative pathologic staging were compared through chi-square test. And the dates of preoperative MRI in cervical cancer vagina involvement and lymph node metastasis diagnosis and postoperative pathological results were compared through Mcnemar chi-square test. The difference was statistically significant(0.05). 1, The differences between MRI staging and the postoperative pathologic staging have no statistical significance (0.05), whilethe difference between MRI staging and preoperative clinical staging during was statistically significant (0.05). Using the postoperative pathological staging as the examination standards, the accuracy of preoperative clinical staging is only 67.5%, and cervical cancer overall preoperative MRI staging accuracy was 95%; 2, Preoperative MRI diagnosis and postoperative pathologic results in cervical vaginal involvement and lymph node metastasis has highsensitivity and specificity, were 97.0%, 96.2%, 93.2%, 97.8%. Checked by Mcnemar chi-square test, the differences between themhave no statisticalsignificance (0.05), namely the preoperative MRI diagnosis and postoperative pathological results have consistency in clinical. The combination of MRI and FIGO clinical stage can impro the accuracy of clinical staging of cervical cancer. MRI can be used as the important tool to assess cervical cancer preoperative staging, and to choose and formulate reasonable cervical cancer treatment plan.
探讨MRI对宫颈癌的诊断价值,包括术前分期、阴道受累及淋巴结转移情况,是本文的目的。选取吉林大学第二医院2016年10月至2019年4月期间116例子宫颈癌患者。所有患者均接受MRI检查。最终,所有患者均接受手术治疗。采用SPSS19.0软件分析所有患者的MRI结果。以术后病理结果作为宫颈癌诊断的金标准。通过卡方检验比较MRI术前分期、术前临床分期与术后病理分期的数据。并通过McNemar卡方检验比较术前MRI在宫颈癌阴道受累及淋巴结转移诊断与术后病理结果的数据。差异具有统计学意义(P<0.05)。1. MRI分期与术后病理分期之间的差异无统计学意义(P>0.05),而MRI分期与术前临床分期之间的差异具有统计学意义(P<0.05)。以术后病理分期作为检查标准,术前临床分期的准确率仅为67.5%,而宫颈癌术前MRI总体分期准确率为95%;2. 术前MRI诊断与术后病理结果在宫颈癌阴道受累及淋巴结转移方面具有较高的敏感性和特异性,分别为97.0%、96.2%、93.2%、97.8%。经McNemar卡方检验,两者之间的差异无统计学意义(P>0.05),即术前MRI诊断与术后病理结果在临床上具有一致性。MRI与FIGO临床分期相结合可提高宫颈癌临床分期的准确性。MRI可作为评估宫颈癌术前分期、选择和制定合理宫颈癌治疗方案的重要工具。