Objective: To study the multiphase contrast-enhanced spiral CT scan and three-dimensional reconstruction in the diagnosis of cervical carcinoma. Method: Took 53 cases of cervical cancer patients as the object who came to our hospital from Feb. 2005 to Oct. 2011 and were examined by B ultrasound and three-dimensional reconstruction of spiral CT, and contrasted two screening results before and after treatment. Result: 10 cases of 53 patients with Ha stage, 21 cases with lib, 22 cases above all El stage, 41 patients were coincident with B ultrasound diagnosis, the detection rate was 77. 36% ; three-dimensional reconstruction of spiral CT diagnosed 49 cases, the detection rate was 92.45% ; There's statistics significance between two method ( X2 = 4. 711, P < 0. 05 ). Conclusion: Multiphase contrast-enhanced spiral CT scan and three-dimensional reconstruction for cervical cancer is a better noninvasive diagnosis method.%目的:探讨螺旋CT多期增强扫描及三维重建在宫颈癌诊断中的临床应用价值.方法:2005年2月至2011年10月期间来我院就诊的53例宫颈癌患者为研究对象分别给予B超检查及螺旋CT三维重建检查,采用对照自身研究,比较两种检查结果.结果:本组53例患者中Ⅱa期10例,Ⅱb期21例,Ⅲ期以上22例,B超诊断符合41例,检出率77.36%;螺旋CT三维重建诊断符合49例,检出率92.45%;两种方法检查结果比较差异具有统计学意义 (X2=4.711,P<0.05).结论:螺旋CT多期增强扫描及三维重建对宫颈癌是一种较好的无创伤性分期诊断方法.
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