| 李洋,卫宏江,于海涛,许洪斌,张晓锦.MSCT术前评估腹膜假黏液瘤患者腹膜癌指数[J].中国医学影像技术,2019,35(3):381~385 |
| MSCT术前评估腹膜假黏液瘤患者腹膜癌指数 |
| MSCT preoperative evaluation on peritoneal cancer index of patients with pseudomyxoma peritonei |
| 投稿时间：2018-06-27 修订日期：2018-11-21 |
| DOI：10.13929/j.1003-3289.201806139 |
| 中文关键词: 假黏液瘤,腹膜 体层摄影术,X线计算机 腹膜癌指数 |
| 英文关键词:pseudomyxoma peritonei tomography,X-ray computed peritoneal cancer index |
| 基金项目: |
|
| 摘要点击次数: 3457 |
| 全文下载次数: 1030 |
| 中文摘要: |
| 目的 探讨MSCT术前评估腹膜假黏液瘤（PMP）患者腹膜癌指数（PCI）的价值。方法 回顾性分析108例经病理证实为PMP患者的MSCT资料，进行PCI评分（MSCT-PCI），并与术中PCI评分进行对照，其中0为大网膜区、1为肝区、2为小网膜囊区、3为脾区、4为降结肠区、5为左髂区、6为盆腔区、7为右髂区、8为升结肠区，9~12为小肠区。分析不同区域MSCT-PCI评分与术中PCI评分及不同观察者间不同区域MSCT-PCI评分的一致性，计算MSCT诊断不同区域PMP的效能。结果 108例中，1~3区的MSCT-PCI评分与术中PCI评分一致性较高；0、4~9区的一致性中等；10~12区的一致性一般。2名观察者间0、4、7区的MSCT-PCI评分一致性高；1~3、5、8~10区的一致性较高；6、11~12区的一致性中等。MSCT诊断0~12区PMP的敏感度分别为92.63%（88/95）、97.94%（95/97）、95.83%（92/96）、95.79%（91/95）、89.69%（87/97）、95.00%（95/100）、96.08%（98/102）、96.12%（99/103）、94.90%（93/98）、87.78%（79/90）、88.89%（80/90）、86.17%（81/94）及85.71%（84/98）；特异度分别为84.62%（11/13）、100%（11/11）、91.67%（11/12）、84.62%（11/13）、100%（11/11）、87.50%（7/8）、83.33%（5/6）、100%（5/5）、100%（10/10）、83.33%（15/18）、83.33%（15/18）、85.71%（12/14）及80.00%（8/10）；准确率分别为91.67%（99/108）、98.15%（106/108）、95.37%（103/108）、94.44%（102/108）、90.74%（98/108）、94.44%（102/108）、95.37%（103/108）、96.30%（104/108）、95.37%（103/108）、87.04%（94/108）、87.96%（95/108）、86.11%（93/108）及85.19%（92/108）。结论 MSCT术前评估PMP PCI较准确，可为临床制定合理的治疗方案提供参考。 |
| 英文摘要: |
| Objective To investigate the value of MSCT in preoperative assessing operitoneal cancer index (PCI) in patients with pseudomyxoma peritonei (PMP). Methods MSCT data of histopathologically proved PMP in 108 patients were retrospectively analyzed. MSCT-PCI scores were evaluated and compared with intraoperative PCI scores, 0-8 was assigned to the omentum area, the liver area, the small omental sac area, the spleen area, the descending colon area, the left iliac area, the pelvic area, the right iliac area and the ascending colon area, respectively, whereas 9 to 12 were assigned to the small intestine area. The consistency between MSCT-PCI scores and the intraoperative PCI scores in different regions and MSCT-PCI scores in different regions between different observers were analyzed. The efficacy of MSCT in diagnosing PMP in different regions was calculated. Results Among 108 patients, the consistency between MSCT-PCI and intraoperative PCI scores in 1-3 regions was good, of 0, 4-9 regions was moderate, while of the 10-12 regions was fair. The consistency of MSCT-PCI scores in 0, 4 and 7 regions between 2 observers was better, of 1-3, 5, 8-10 regions was good, of 6, 11, 12 regions was moderate. The sensitivity of MSCT in diagnosis of PMP in 0-12 regions was 92.63% (88/95), 97.94% (95/97), 95.83% (92/96), 95.79% (91/95), 89.69% (87/97), 95.00% (95/100), 96.08% (98/102), 96.12% (99/103), 94.90% (93/98), 87.78% (79/90), 88.89% (80/90), 86.17% (81/94) and 85.71% (84/98); the specificity was 84.62% (11/13), 100% (11/11), 91.67% (11/12), 84.62% (11/13), 100% (11/11), 87.50% (7/8), 83.33% (5/6), 100% (5/5), 100% (10/10), 83.33% (15/18), 83.33% (15/18), 85.71% (12/14) and 80.00% (8/10); and the accuracy was 91.67% (99/108), 98.15% (106/108), 95.37% (103/108), 94.44% (102/108), 90.74% (98/108), 94.44% (102/108), 95.37% (103/108), 96.30% (104/108), 95.37% (103/108), 87.04% (94/108), 87.96% (95/108), 86.11% (93/108) and 85.19% (92/108). Conclusion MSCT can accurately assess PCI of PMP, therefore providing references for clinical development of treatment plan. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
