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目的探讨64排螺旋CT对宫颈癌的诊断及分期价值。方法回顾性分析45例宫颈癌患者的临床资料。结果本组资料中的45例宫颈癌患者进行FIGO分期诊断,其中,IIb期以下37例,再经64排螺旋CT扫描的诊断,未检出9例,28例检出,检出率为75.68%,其中低估2例,判断正确22例,高估4例;IIb期以上(包括IIb期)8例,再经64排螺旋CT扫描的诊断,8例患者全部检出,且分期正确;由此可见,64排螺旋CT扫描定性诊断的正确率为80.0%(36/45);分期诊断的正确率为66.67%(30/45)。结论64排螺旋CT对宫颈癌的定性诊断正确率较高,但分期诊断的正确率并不理想,有待于进一步提高。
Objective To investigate the diagnostic value and staging value of 64-slice spiral CT for cervical cancer. Methods The clinical data of 45 patients with cervical cancer were retrospectively analyzed. Results 45 cases of cervical cancer patients in this group were diagnosed with FIGO staging. Among them, 37 patients under IIb stage, followed by 64-slice spiral CT scan, 9 cases were not detected, 28 cases were detected, the detection rate was 75.68 %, Of which 2 cases were underestimated, 22 cases were correctly diagnosed and 4 cases were overestimated. 8 cases were diagnosed by spiral CT in stage IIb (including stage IIb). All 8 cases were detected and the staging was correct. This shows that 64-slice spiral CT scan qualitative diagnosis of the correct rate was 80.0% (36/45); staging diagnosis rate was 66.67% (30/45). Conclusion The accuracy of 64-slice spiral CT in the diagnosis of cervical cancer is high, but the correct rate of staging diagnosis is not ideal and need to be further improved.