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目的:探讨多层螺旋CT在宫颈癌淋巴结转移(cervical carcinoma lymph node metastasis,CCLNM)中的诊断意义。方法:抽选2011年3月-2015年5月我院及协作医院拟诊为CCLNM的69例患者进行回顾性分析,术前1周均予以上、中、下腹以及盆腔的多层螺旋CT检查,以淋巴清扫术后组织病理结果作为诊断CCLNM的金标准,分析多层螺旋CT诊断CCLNM的灵敏度、特异性。结果:以术后组织病理结果为金标准,CT诊断CCLNM的灵敏度为90%(27/30)、特异性为89.74%(35/39)、准确度为89.86%(62/69)。结论:多层螺旋CT能基本准确判断出CCLNM的淋巴结转移情况,与术后病理结果一致性高,有着较高的诊断应用价值,值得临床推广。
Objective: To investigate the diagnostic value of multislice spiral CT in cervical carcinoma lymph node metastasis (CCLNM). Methods: A retrospective analysis was performed on 69 patients who were diagnosed as CCLNM from March 2011 to May 2015 in our hospital. The patients were examined by multi-slice spiral CT with upper, middle and lower abdomen and pelvic cavity one week before operation , With lymph node dissection histopathological results as the gold standard for the diagnosis of CCLNM, multi-slice spiral CT diagnosis of CCLNM sensitivity and specificity. Results: The postoperative histopathological results as the gold standard, the sensitivity of CT diagnosis of CCLNM was 90% (27/30), the specificity was 89.74% (35/39) and the accuracy was 89.86% (62/69). Conclusion: MSCT can determine the lymph node metastasis of CCLNM accurately and concordantly with the postoperative pathological results, which has high diagnostic value and worthy of clinical promotion.