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目的对比子宫内膜癌患者临床分期、MRI分期以及手术病理分期三者之间的差别,并分析各自的临床价值。方法回顾性分析该院2012年2月-2014年2月收治的85例子宫内膜癌患者的临床资料,并对其临床分期、MRI分期以及手术病理分期进行对比。结果临床分期Ⅰ期66例,51例与MRI分期相符,43例与手术病理分期相符;临床分期Ⅱ期19例,9例与MRI分期相符,7例与手术病理分期相符;MRI分期Ⅰ期41例与手术病理分期相符,Ⅱ期15例相符,Ⅲ期11例相符;临床分期与MRI分期总符合率70.59%,与手术病理分期总符合率58.82%,MRI分期与手术病理分期总符合率78.82%。结论手术前进行的临床分期准确度较低,准确度随期别的提高而降低;MRI分期可以多方位且清晰地显示患者体内肿瘤病灶部位和病变范围;手术病理分期最能显示肿瘤病变部位范围以及淋巴结转移情况,具有较大的判断价值。
Objective To compare the clinical staging, MRI staging and surgical pathology staging among endometrial cancer patients and to analyze their respective clinical value. Methods The clinical data of 85 patients with endometrial carcinoma treated in our hospital from February 2012 to February 2014 were retrospectively analyzed. The clinical stage, MRI stage and surgical pathological stage were compared. Results The clinical stage Ⅰ 66 cases, 51 cases consistent with MRI staging, 43 cases and surgical pathological staging; clinical stage Ⅱ 19 cases, 9 cases consistent with MRI staging, 7 cases with pathological stage; MRI stage Ⅰ 41 The cases were consistent with the pathological stage of surgery, 15 cases were consistent with stage Ⅱ and 11 cases were stage Ⅲ. The total coincidence rate of clinical stage and MRI stage was 70.59%, and the total coincidence rate with surgical stage was 58.82%. The total coincidence rate of MRI stage and operative stage was 78.82 %. Conclusions The accuracy of clinical staging before surgery is lower and the accuracy is lower with the increase of staging. The MRI staging can display the tumor lesion and lesion range in many directions and clearly. The pathological staging can best show the extent of tumor lesion As well as lymph node metastasis, with greater value of judgment.