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目的分析MRI对子宫内膜癌临床分期的鉴别准确性,探讨其在临床应用中的价值。方法选取三门峡市义煤集团总医院2015年2月至2016年2月期间经外科手术病理检查确诊的子宫内膜癌57例,所有患者术前均行MRI检查,分析MRI检查影像资料,将MRI术前临床分期结果与术后病理分期结果对比。结果 MRI扫描图像清晰;可见患者子宫不规则增大,内膜不规则增厚或宫腔增宽;T1WI肿瘤与子宫肌层信号相近,不易显示,T2WI子宫内膜呈不均高信号,肿瘤呈略高信号;或累及宫颈,T2WI表现为肿瘤信号侵入宫颈间质;术前MRI对子宫内膜癌临床分期的Ⅰa期、Ⅰb期、Ⅱ期、Ⅲ期鉴别准确性分别为90.00%、95.00%、91.67%、100%。结论术前对子宫内膜癌患者进行MRI扫描检查,MRI扫描图像清晰,特征明显,临床分期鉴别准确性较高,对子宫内膜癌临床分期的鉴别及诊疗有重要的价值。
Objective To analyze the accuracy of MRI in the clinical staging of endometrial carcinoma and to explore its value in clinical application. Methods Fifty-seven patients with endometrial carcinoma diagnosed by surgical pathology from February 2015 to February 2016 in YiMen Group General Hospital of Sanmenxia were enrolled. All patients underwent MRI before operation. MRI data were analyzed and MRI Preoperative clinical stage results and postoperative pathological staging results compared. Results MRI scan images clearly; visible irregular increase in the uterus, irregular thickening of the intima or uterine cavity widened; T1WI tumor and myometrial signal similar, not easy to show, T2WI endometrial showed unevenly high signal tumor was Slightly higher signal; or involving the cervix, T2WI showed tumor signal invasion of cervical interstitial; preoperative MRI on endometrial cancer stage Ⅰa, Ⅰb, Ⅱ, Ⅲ accuracy of 90.00%, 95.00% , 91.67%, 100%. Conclusions MRI scan of patients with endometrial carcinoma before operation is preoperative. The MRI scan images are clear, the characteristics are obvious, and the accuracy of clinical stage identification is high. Therefore, it is of great value to the clinical stage identification and diagnosis of endometrial cancer.