张艳 毕崇萍 杜聚 朱慧玲 高燕△.18F-FDG PET/CT 在宫颈癌诊断及分期中的临床价值[J].,2016,16(6):1061-1063 |
18F-FDG PET/CT 在宫颈癌诊断及分期中的临床价值 |
Clinical Value of 18F-FDG PET/CT in the Diagnosis of Staging for Cervical Cancer |
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DOI: |
中文关键词: 宫颈癌 18F-FDG PET/CT 诊断 分期 |
英文关键词: Cervical cancer 18F-FDG PET/CT Diagnosis Staging |
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中文摘要: |
目的:探讨氟代脱氧葡萄糖(18F-FDG)正电子发射断层显像/X 线计算机体层成像仪(PET/CT)检查在局灶早期宫颈癌中的临
床应用价值。方法:53 例病理确诊为早期宫颈癌的患者行全身18F-FDG PET/CT 检查,并在检查结束10 日内行广泛性全子宫切除
术+双附件切除术+盆腔淋巴结清扫术,计算18F-FDG PET/CT 诊断宫颈原发部位肿瘤及盆腔淋巴结转移的敏感度,特异度与准
确度。结果:18F-FDG PET/CT 检查诊断的宫颈原发部位肿瘤的敏感度为79.25%,特异度为86.79%,准确度为84.9%;以病人为单
位诊断盆腔淋巴结转移的准确度为85.71%,特异度为97.87%;以淋巴结为单位诊断盆腔淋巴结转移的准确度为84.61%,特异度
为99.00%。结论:PET/CT 显像对宫颈癌诊断,分期诊断及盆腔淋巴结转移的检出具有重要临床意义。 |
英文摘要: |
Objective:To study the clinical value of 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/ computed
tomography(PET/CT) in early cervical cancer.Methods:53 patients with early cervical cancer diagnosed by pathology were inspected by
whole-body 18F-FDG PET/CT, then underwent the extensive hysterectomy+double appendix resection+pelvic lymph node dissection
within 10 days after the inspection, calculated the sensitivity, specificity and accuracy of PET/CT 18F-FDG in the diagnosis of cervical
primary tumor and pelvic lymph node metastasis.Results:The sensitivity, specificity and accuracy of cervical primary tumor were
79.25%, 86.79%, 84.9% respectively; The accuracy and specificity of regional lymph node metastasis in patient unit were 85.71% and
97.87%; The accuracy and specificity of regional lymph node metastasis in lymph node partition unit were 84.61%and 99%.Conclusion:Important clinical value in diagnosis,Staging,pelvic nodal metastasis detection of cervical cancer. |
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