高场MRI在子宫内膜癌术前分期及术后评估中的应用价值

高场MRI在子宫内膜癌术前分期及术后评估中的应用价值

程美英;赵鑫;陆林

【期刊名称】《中国实用医刊》 【年(卷),期】2018(045)011

【摘要】目的 探讨子宫内膜癌的高场磁共振成像(MRI)表现,评价高场MRI在判断子宫内膜癌术前分期及术后评估中的应用价值.方法 回顾分析经刮宫或手术病理学证实为子宫内膜癌的45例MRI征象,比较其术前MRI诊断及分期与术后病理结果 .结果45例患者病理结果:Ⅰ期18例,Ⅱ期20例,Ⅲ期6例,Ⅳ期1例.术前判断分期与病理结果符合者41例,其总准确率为91.1％;磁共振结果1例判断过深,3例判断过浅.术后复发2例,淋巴囊肿3例.结论 MRI对子宫内膜癌侵犯范围和术前分期及术后评估有很高的价值,是术前诊断子宫内膜癌和分期及术后评估的可靠方法.%Objective To investigate the high-field magnetic resonance imaging (MRI)manifes-tations of endometrial carcinoma,and evaluate the value of high-field MRI in preoperative staging and postoperative evaluation of endometrial carcinoma. Methods The MRI manifestations of 45 patients with endometrial carcinoma who were proved by uterine curettage or postoperative pathology were retrospective-ly analyzed. The diagnosis results and stage of preoperative MRI were compared with postoperative patho-logical findings. Results Pathological findings in 45 patients:18 cases were at stage I,20 cases were at stage Ⅱ,6 cases were at stage Ⅲ,1 case was at stage IV. There were 41 cases whose preoperative judg-ment for staging