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目的探讨提高宫颈癌临床分期诊断准确性的方法。方法比较临床分期、MRI扫描与病理诊断分期的符合率。结果 MRI对IB期宫颈癌的分期准确性明显高于临床分期(χ2=4.16,P<0.05);MRI对该组病例总的诊断分期的准确率显著高于临床分期(χ2=4.16,P<0.01)。结论 MRI检查对宫颈癌的诊断分期具有重要意义,有利于选择最恰当的治疗方法,提高治疗效果。MRI扫描显示宫颈外膜毛糙或模糊时选择手术治疗应慎重。
Objective To explore ways to improve the diagnostic accuracy of clinical staging of cervical cancer. Methods The clinical staging, MRI scan and pathological diagnosis staging coincidence rate. Results The staging accuracy of MRI in stage IB cervical cancer was significantly higher than that in clinical stage (χ2 = 4.16, P <0.05). The accuracy of MRI in diagnosing stage IB was significantly higher than that in clinical stage (χ2 = 4.16, P < 0.01). Conclusion MRI examination of cervical cancer diagnosis stage is of great significance, is conducive to the selection of the most appropriate treatment and improve the therapeutic effect. MRI scans show that the choice of surgical treatment of rough or fuzzy cervical outer covering should be careful.