MRI findings of patients with positive margins after LEEP

XIE Jielin; HAN Zhigang; TIAN Xiaomei; ZHANG Guofu; ZHANG Di

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MRI findings of patients with positive margins after LEEP

更新时间：2025-12-15

- MRI findings of patients with positive margins after LEEP
- Vol. 26, Issue 3, Pages: 217-220(2017)
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- Published Online：14 August 2017，
  
  Published：14 August 2017
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谢洁林,韩志刚,田晓梅,等. 宫颈LEEP术后切缘阳性的MRI表现及临床评价[J]. 肿瘤影像学, 2017, 26(3): 217-220
DOI：

谢洁林,韩志刚,田晓梅,等. 宫颈LEEP术后切缘阳性的MRI表现及临床评价[J]. 肿瘤影像学, 2017, 26(3): 217-220 DOI：

摘要

目的：

探讨MRI在宫颈LEEP术后切缘阳性患者中的应用价值。

方法：

选取85例经病理组织学证实的宫颈LEEP术后切缘阳性患者，经盆腔MRI扫描，回顾性分析其影像学表现，并与病理结果对照分析。

结果：

宫颈LEEP术后切缘阳性患者行子宫切除术后，病理证实仍有病变残留率为27.1%。与病理结果对比分析，MRI诊断的灵敏度为73.9%，特异度为87.1%，准确率为83.5%。

结论：

MRI诊断宫颈LEEP术后切缘阳性的准确率较高，对临床治疗方案的选择及随访复查具有较高的参考价值。

Abstract

Objective:

To investigate the value of MRI in the diagnosis of positive margins after loop electrosurgical excision procedure (LEEP).

Methods:

MRI findings of 85 cases with positive margins after LEEP were retrospectively analyzed and compared with the histopathological results.

Results:

The residual lesions were found in 27.1% of the patients with positive margins. The sensitivity

specificity and accuracy of MRI were 73.9%

87.1% and 83.5%

respectively

in detecting residual lesions.

Conclusion:

MRI has a relatively high accuracy in evaluating the patients with positive margins after LEEP and is valuable for clinicians to determine the therapeutic strategy.

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