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目的探讨子宫颈癌治疗前影像学评估模式的变化趋势。方法收集2010年1月-2015年3月就诊于普爱医院妇科肿瘤科的初诊的322例宫颈癌患者,记录其年龄、分期、病理类型、治疗前辅助检查以及治疗方式,对治疗前辅助检查方式的变化及可能因素进行统计比较。结果共有65例患者进行了CT检查,216例患者进行了超声检查,两种检查的患者比例呈逐年递增状态,应用情况随着分期的进展而增多。在169例手术治疗病例中,有20例(11.83%)进行CT检查,112例非手术病例中,有45例(40.18%)进行了CT检查,经统计学分析,差异具有统计学意义(P<0.001)。手术治疗病例中,有124例(73.37%)进行超声检查,非手术病例中,有92例(82.14%)进行了超声检查,经统计学分析,差异具有统计学意义(P<0.001)。非手术患者中,91例进行了超声检查,45例进行了CT检查;手术治疗的宫颈癌患者中,有20例进行了手术前盆腔CT检查。结论宫颈癌患者治疗前应用影像学检查主要为超声检查和CT检查,且两者的应用在逐年增加并随着分期的进展而增加;超声和CT检查对宫旁浸润、邻近器官以及淋巴结情况均有报告;手术治疗患者相较于非手术治疗患者,影像学检查用于治疗前评估的应用较少。
Objective To investigate the change trend of imaging evaluation model of cervical cancer before treatment. Methods A total of 322 cases of cervical cancer from January 2010 to March 2015 were enrolled in Department of Gynecologic Oncology, Puai Hospital. The age, staging, pathological type, pre-treatment auxiliary examination and treatment were recorded. Pre-treatment auxiliary examination Ways of change and possible factors for statistical comparison. Results A total of 65 patients underwent CT examination. 216 patients underwent ultrasonography. The proportions of patients in the two examinations increased year by year, and the application increased with the progress of staging. In 169 cases of surgical treatment, 20 cases (11.83%) were examined by CT. Among 112 non-surgical cases, 45 cases (40.18%) were examined by CT. The statistical analysis showed that the difference was statistically significant (P <0.001). There were 124 cases (73.37%) underwent ultrasonography in surgical treatment. Among the non-operative cases, 92 cases (82.14%) underwent ultrasonography. The difference was statistically significant (P <0.001). Of the nonsurgical patients, 91 were examined by ultrasonography and 45 were examined by CT. Of the 20 patients with cervical cancer undergoing surgery, pelvic CT was performed prior to surgery. Conclusion The application of imaging before the treatment of cervical cancer patients mainly by ultrasound and CT examination, and the application of both increased year by year and increased with the progress of staging; ultrasound and CT examination of uterine infiltration, adjacent organs and lymph nodes were There are reports; surgical treatment of patients compared to non-surgical treatment of patients, imaging studies for pre-treatment evaluation less.