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目的:探讨磁共振成像(MRI)在预测宫颈癌淋巴转移的应用价值。方法:对南京大学附属鼓楼医院2011年1月至2015年6月宫颈癌患者的 MRI 及病理资料进行回顾性分析。结果:肿瘤最大径、宫颈浸润深度、宫旁侵犯的差异均有统计学意义(P 均<0.05)。肿瘤最大径>4 cm、宫颈浸润深度>1/2、存在宫旁侵犯是淋巴结转移的独立影响因素(P 均<0.05)。结论:肿瘤最大径、宫颈浸润深度、宫旁侵犯与宫颈癌淋巴结转移存在相关性,上述宫颈癌原发灶 MRI 影像特征有助于宫颈癌淋巴结转移的预测。“,”Objective:To study the value of magnetic resonance imaging(MRI)in the prediction of metastatic lymph nodes in patient withuterine cervical cancer.Methods:The MRI and pathological data of patients with cervical cancer who underwent operation between January 2011 and June 2015 in Nanjing Drum Tower Hospital were retrospected and selected.Results:Single factor analysis showed that the differences of the biggest tumor diameter,cervical infiltration depth, parametrial invasion had statistical significance (P 4 cm,cervical infiltration depth >1 /2,existence ofparametrial invasion were independent impact factors for lymph node metastasis(P <0.05).Conclusions:The biggest tumor diameter,cervical infiltration depth and parametrial invasion were correlated with lymph node metastasis.The MRIcharacteristics of primary lesion of cervical cancer can help predict lymph node metastasis.