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目的探讨磁共振成像(MRI)在子宫内膜腺癌治疗中的价值。方法回顾分析我院经手术治疗的子宫内膜腺癌患者72例,其中术前38例采用MRI作影像学辅助诊断,34例采用CT作影像学辅助检查,以判断子宫肌层浸润深度及宫颈是否受累,并将其结果与术后病理结果相对照。结果MRI能正确评估肌层浸润深度,诊断符合率为92%.宫颈受累评估,正确评估率86%。CT正确评估肌层浸润深度,其诊断符合率为71%,宫颈受累评估,其正确诊断率为29%。MRI对肌层侵润深度的判断和宫颈受累判断与手术病理分期结果无统计学上的差异,P>0.05。CT对肌层侵润深度的判断和宫颈受累判断与手术病理分期结果有统计学上的差异,P<0.05。结论MRI对判断子宫内膜腺癌肌层浸润深度及宫颈有无受累方面较CT有明显优越性,故在临床上有很高的应用价值。
Objective To investigate the value of magnetic resonance imaging (MRI) in the treatment of endometrial adenocarcinoma. Methods Retrospective analysis of 72 cases of endometrial adenocarcinoma surgically treated in our hospital, of which 38 cases were preoperatively diagnosed by MRI imaging diagnosis, 34 cases were examined by CT imaging to determine the depth of myometrial invasion and cervical Are affected, and the results and postoperative pathological results of the control. Results MRI can correctly evaluate the depth of myometrial invasion, the diagnostic coincidence rate was 92%. Cervical involvement assessment, the correct assessment rate of 86%. CT correct assessment of myometrial invasion depth, the diagnostic coincidence rate was 71%, assessment of cervical involvement, the correct diagnosis was 29%. There was no significant difference between MRI in judging the depth of myometrial invasion, cervical involvement and pathological staging, P> 0.05. CT to determine the depth of myometrial invasion and cervical involvement and pathological staging staging results were statistically significant differences, P <0.05. Conclusion MRI is superior to CT in judging the depth of myometrial invasion and cervical involvement in endometrial adenocarcinoma, so it has high value in clinical application.