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目的:探讨计算机断层摄影术(CT)、核磁共振成像(MRI)在扶正抗癌方联合深部热疗治疗中晚期宫颈癌的应用。方法:选取2010年11月-2014年12月于广宁县人民医院60例需要接受扶正抗癌方联合深部热疗治疗的中晚期宫颈癌患者,将其随机分为CT组和MRI组,每组30例,在治疗前分别应用CT和MRI进行分期诊断,观察比较两组的诊断准确率。结果:对低于IB1期的宫颈癌,CT组的诊断准确率为50.0%,MRI组为72.2%,两组对比,差异有统计学意义(P<0.05);对于在IB2至IIA期的宫颈癌,两组的诊断准确率分别为78.6%和85.7%,差异有统计学意义(P<0.05);而高于IIB期的宫颈癌,CT组的诊断准确率为85.7%,MRI组为83.3%,差异有统计学意义(P<0.05)。结论:在对中晚期宫颈癌患者行扶正抗癌方联合深部热疗治疗前,进行CT和MRI检查对肿瘤分期和治疗方法的选择具有重要意义,其中对低于IB1期和在IB2至IIA期的宫颈癌行MRI检查的价值高于CT检查,而对高于IIB期的宫颈癌行CT检查具有更高的诊断价值。
Objective: To investigate the application of computed tomography (CT) and magnetic resonance imaging (MRI) in the treatment of advanced cervical cancer with Fuzheng anticancer prescription combined with deep hyperthermia. Methods: From November 2010 to December 2014, 60 patients with advanced cervical cancer who were treated with Fuzheng anti-cancer combined with deep hyperthermia in Guangning County People’s Hospital were randomly divided into CT group and MRI group, with each group Thirty patients were diagnosed by CT and MRI respectively before treatment, and the diagnostic accuracy was compared between the two groups. Results: The diagnostic accuracy rate of CT group was 50.0% for cervical cancer less than IB1 stage and 72.2% for MRI group (P <0.05). For cervical cancer in IB2 to IIA The diagnostic accuracy of the two groups were 78.6% and 85.7%, respectively, with statistical significance (P <0.05). The diagnostic accuracy rate of cervical cancer in group IIB was 85.7% in the CT group and 83.3% in the MRI group %, The difference was statistically significant (P <0.05). Conclusion: It is of great significance to select CT and MRI for the selection of tumor staging and treatment before the treatment of advanced cervical cancer patients with Fuzheng anticancer treatment combined with deep hyperthermia. Among the patients with lower than IB1 and IB2 to IIA Of cervical cancer MRI examination of the value of higher than the CT, and higher than the IIB cervical cancer line CT examination has a higher diagnostic value.