《癌症进展》2023年2月第21卷第3期ONCOLOGYPROGRESS,Feb2023Vol.21,No.3*论著*MRIMRI联合阴道镜对早期宫颈癌的诊断价值联合阴道镜对早期宫颈癌的诊断价值库登志1#,库瑛2,范香香1,居行行1武穴市第一人民医院1放射影像科,2妇产科,湖北武穴4354000摘要摘要:目的目的探讨MRI联合阴道镜对早期宫颈癌的诊断价值。方法方法选取60例早期宫颈癌或癌前病变患者,所有患者均进行MRI和阴道镜检查,以病理检查结果为金标准,分析MRI、阴道镜单独及联合检查对早期宫颈癌的诊断价值。结果结果经病理诊断,60例患者中,早期宫颈癌患者30例,其中腺癌1例,鳞状细胞癌29例;癌前病变患者30例,均为宫颈上皮内瘤变(CIN)。MRI、阴道镜联合检查诊断早期宫颈癌的灵敏度、特异度、准确度、阳性预测值、阴性预测值均高于MRI、阴道镜单独检查,MRI、阴道镜联合检查诊断早期宫颈癌与病理结果的一致性好(Kappa=0.900),高于MRI、阴道镜单独检查(Kappa=0.767、0.433)。结论结论MRI、阴道镜检查对早期宫颈癌均具有一定的诊断价值,但两者联合检查的诊断价值更高,可以有效区分早期宫颈癌和癌前病变。关键词关键词:早期宫颈癌;癌前病变;MRI;阴道镜中图分类号中图分类号:R737737.3333文献标志码文献标志码:AdoiAdoi:10.11877/j.issn.1672-1535.2023.21.03.24DiagnosticvalueofMRIcombinedwithcolposcopyforearlycervicalcancerDiagnosticvalueofMRIcombinedwithcolposcopyforearlycervicalcancerKUDengzhi1#,KUYing2,FANXiangxiang1,JUXingxing11DepartmentofRadiography,2DepartmentofObstetricsandGynecology,WuxueNo.1People’sHospital,Wuxue435400,Hubei,ChinaAbstractAbstract:ObjectiveObjectiveToinvestigatethediagnosticvalueofMRIcombinedwithcolposcopyforearlycervicalcan‐cer.MethodMethodAtotalof60patientswithearlycervicalcancerorprecancerouslesionswereselected.Allpatientsunder‐wentMRIandcolposcopyexamination.Usingpathologicalexaminationresultsasthegoldstandard,thediagnosticvalueofMRI,colposcopyalone,andcombinedexaminationforearlycervicalcancerwereanalyzed.ResultResultAccordingtothepathologicalexamination,amongthe60patients,30wereearlycervicalcancer,including1adenocarcinomaand29squa‐mouscellcarcinoma,and30wereprecancerouslesions,allofwhichwerecervicalintraepithelialneoplasia(CIN).Thesensitivit...