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目的探讨宫颈癌淋巴结转移采用多层螺旋CT诊断的价值。方法选择疑似宫颈癌淋巴转移患者56例,均为本院2015年9月至2017年2月收治,采用多层螺旋CT对髂总、腹总动脉旁等处的淋巴结转移诊断,就检查的结果与病理检查结果对照,评估CT诊断价值。结果本次选择的疑似宫颈癌淋巴转移的患者56例,经多层螺旋CT检查,与病理检查结果对比,准确度达96.4%,敏感度为97.9%,特异度为87.5%;误诊率为12.5%,漏诊率为2.1%;阳性预测值为87.0%。结论采用多层螺旋CT对临床疑似宫颈癌淋巴转移的病例进行诊断,可对淋巴结转移的情况做出基本准确的判断,与病理检查结果有较高一致性,具有理想的应用价值。
Objective To investigate the value of multi-slice spiral CT in the diagnosis of cervical lymph node metastasis. Methods Fifty-six patients with cervical lymph node metastasis suspected cervical cancer were selected from September 2015 to February 2017 in our hospital. Multi-slice spiral CT was used to diagnose the lymph node metastasis in common iliac artery and common abdominal artery. The results of the examination Compared with the results of pathological examination, the diagnostic value of CT was evaluated. Results Fifty-six patients with suspected lymphatic metastasis of cervical cancer were examined by multi-slice spiral CT. The accuracy was 96.4%, the sensitivity was 97.9%, the specificity was 87.5% and the misdiagnosis rate was 12.5 %, Misdiagnosis rate was 2.1%; positive predictive value was 87.0%. Conclusion The diagnosis of lymph node metastasis in suspected cervical cancer by multi-slice spiral CT can make a basic and accurate judgment of lymph node metastasis and has high consistency with pathological examination results, which is of ideal value for application.