分析磁共振间接淋巴造影诊断宫颈癌淋巴结转移价值.docVIP

分析磁共振间接淋巴造影诊断宫颈癌淋巴结转移价值 　　[摘要] 目的 探讨评价磁共振间接淋巴造影对于诊断宫颈癌淋巴结转移的价值。方法 选取该院2008―2011年收治的的宫颈癌患者98例，行磁共振间接淋巴管造影观察前哨淋巴结显影、盆腔淋巴管引流情况，再对患者行全子宫切除+盆腔淋巴结清扫术，将观察结果与手术后结果进行比较，评价磁共振间接淋巴造影的敏感性。结果 经实验结果可知运用磁共振间接淋巴造影技术敏感性及准确性高。 结论 由于该技术在对于宫颈癌淋巴结转移预测敏感性高，能够在术前明确了解盆腔淋巴结状况，有利于制定良好的宫颈癌治疗方案，使宫颈癌患者得到更有效的治疗，提高宫颈癌的疗效及预后。 　　[关键词] 宫颈癌；淋巴结转移；磁共振间接淋巴造影；敏感性；有效治疗 　　[中图分类号] R737.33 [文献标识码] A [文章编号] 1674-0742（2014）01（c）-0010-02 　　[Abstract] Objective To evaluate the value of indirect MR lymphography in diagnosis of lymph node metastasis in cervical carcinoma. Methods Ninety-eight patients with cervical carcinoma treated in our hospital from 2008 to 2011 were selected. Indirect MR lymphography was performed in the patients to observe sentinel lymph node and lymphatic drainage in pelvic cavity. After treatment of panhysterectomy and pevic lymphadenectomy， the results of images and operation were compared in order to evaluate the sensitivity of indirect MR lymphography. Results The sensitivity and accuracy of indirect MR lymphography were proved to be high by experiments. Conclusion As the sensitivity of indirect MR lymphography is high in detecting lymph node metastasis in cervical carcinoma， the pelvic lymph nodes can be realized clearly before operation. It is benefit for making treatment plans properly. As a result the patients of cervical carcinoma can be treated more effectively and the curative effect and prognosis can be improved. [Key words] Cervical carcinoma； Lymph node metastasis； Indirect MR lymphography； Sensitivity； Effective treatment 　　子宫颈癌（CACX）是临床常见的恶性肿瘤之一，甚至一度是女性患肿瘤死亡的首要原因[1]。国际妇产科联盟（FIGO）分期标准中的Ⅰa～Ⅱa期定义为早期宫颈癌，其治疗首选全子宫切除+盆腔淋巴结清扫术。前哨淋巴结（SLN）是指具体器官或原发肿瘤引流所到达的第一个或一组淋巴结，它的状态能够反映该淋巴引流区域所有淋巴结状态[2]。宫颈癌淋巴结转移率在不同国家甚至不同FIGO分期的转移率也不尽相同，因此，对于早期宫颈癌的治疗，CACX转移的准确预测并实施治疗显得尤为重要[3]。为探讨评价磁共振间接淋巴造影对于诊断宫颈癌淋巴结转移的价值，对2008―2011年Ⅰa～Ⅱa期的宫颈癌患者98例，使用磁共振间接淋巴造影能够更准确的预测出CACX淋巴结转移情况，有利于患者治疗，现报告如下。 　　1 资料与方法 　　1.1 一般资料 　　选取该院Ⅰa～Ⅱa宫颈癌患者98例，年龄36～75岁，其中鳞癌72例，腺癌20例，腺鳞癌6例[4]。患者之前均为做过手术或化疗，患者其他病理表现相差不大并都可耐受检查。患者术前行磁共振间接淋巴