卵巢癌鉴别诊断及术前分期评估中磁共振成像的价值分析

王玉

[摘要] 目的 该文探讨通过有效的诊断方法进行诊断，并给予术前分期评估，以利于患者疾病的治疗。方法 参与该次实验的患者均为方便选取该院进行卵巢肿瘤治疗的患者59例，收入患者时间为2018年1月—2019年6月，参与该次实验的患者均经手术证实，确诊卵巢癌，并完成术前分期，全部患者在治疗期间均采用磁共振进行检查与诊断，将磁共振检查结果与手术病理结果进行比较。结果 与手术病理结果相比，磁共振卵巢癌诊断准确率（94.92%）、分期符合率（94.29%）数据，差异无统计学意义（χ2=1.078，2.059，P=0.079，0.151）。结论 磁共振在卵巢癌确诊方面可起到较为显著的效果，具有较高的应用价值，同时可对卵巢癌进行术前分期，为患者治疗提供重要依据。

[关键词] 卵巢癌;术前分期;磁共振;成像;价值

[中图分类号] R5          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0004-03

Value of Magnetic Resonance Imaging in Differential Diagnosis and Preoperative Staging Evaluation of Ovarian Cancer

WANG Yu

Department of Magnetic Resonance， Guanxian People's Hospital，Guanxian，Shandong Province，252500 China

[Abstract] Objective The paper discusses that it * should be diagnosed by effective diagnostic methods and given preoperative staging evaluation to facilitate the treatment of patients' diseases. Methods The patients participating in this experiment were 59 patients who came to our hospital for ovarian tumor treatment， and the income patients were convenient selection from January 2018 to June 2019. All patients participating in this experiment were confirmed by surgery and confirmed ovarian cancer， and completed the preoperative staging， all patients were examined and diagnosed with magnetic resonance during the treatment， and the magnetic resonance examination results were compared with the surgical pathological results. Results Compared with the surgical pathological results， the diagnostic accuracy rate （94.92%） and staging coincidence rate （94.29%） of magnetic resonance ovarian cancer were not different， and there was no statistical significance （χ2=1.078， 2.059， P=0.079， 0.151）. Conclusion Magnetic resonance imaging can play a significant role in the diagnosis of ovarian cancer， and has high application value. It can also perform preoperative staging of ovarian cancer and provide important evidence for patient treatment.

[Key words] Ovarian cancer; Preoperative staging; Magnetic resonance; Imaging; Value

卵巢癌在我國临床中具有较高的发病率，是威胁女性生殖健康的重要疾病，经有效治疗后，患者的5年生存率大约仅为30%，早期诊断可延长患者的生存率，通常情况下，无明显临床症状，患者发现时多数已经达到了中晚期，患者治疗的预后较差[1]。卵巢癌在临床疾病诊断的过程中，可采用多种影像学手段，例如超声、CT、磁共振等，各种影像学检查方法在应用中各具有优势，磁共振诊断效果更为显著。临床上，常采用磁共振对卵巢肿瘤进行诊断，磁共振在临床应用过程中具有多层面、多方位成像的特点，同时较高的分辨率也更好地对卵巢肿瘤进行定性，并且可完成术前分期，为患者日后手术治疗，提供有价值的信息[2]。……