对女性盆腔囊性和囊实性包块的彩色多普勒超声和MSCT诊断的临床研究  

Clinical research for female pelvic cystic and cystic solid mass by color Doppler ultrasound and MSCT diagnosis

作　　者：李江涛[1] 曹金丽[2] 程传生[1] 李霞[3] 

机构地区：[1]深圳市南山区妇幼保健院功能科,广东深圳518052 [2]深圳市南山区妇幼保健院手术室,广东深圳518052 [3]新疆医科大学第一附属医院助孕生殖中心,新疆乌鲁木齐830000

出　　处：《生物医学工程与临床》2013年第4期344-348,共5页Biomedical Engineering and Clinical Medicine

摘　　要：目的总结对比彩色多普勒超声与多层螺旋CT(MSCT)对女性盆腔囊性和囊实性包块诊断的影像学特点,提高彩色多普勒超声和MSCT对盆腔囊性和囊实性包块的诊断准确率。方法 39例新疆女性盆腔囊性和囊实性包块患者,年龄27～62岁,平均年龄39.5岁。术前分别行彩色多普勒超声和MSCT检查,进行影像学诊断,术后经手术和病理全部证实,并回顾性对比分析彩色多普勒超声和MSCT的影像学诊断和定位准确率。结果 39例患者中5例为女性盆腔包虫(2例单囊型,3例多囊型,且1例伴包虫囊肿破裂),MSCT诊断正确率为80%(4例),定位准确率为100%(5例),彩色多普勒超声诊断正确率为60%(3例),定位准确率为40%(2例);25例为囊实性卵巢囊腺瘤(7例为单囊型,18例为多囊型),MSCT诊断正确率为88%(22例),定位正确率为84%(21例),彩色多普勒超声诊断正确率60%(15例),定位正确率为52%(13例);4例为较大子宫肌瘤囊性变,MSCT和彩色多普勒超声均100%正确诊断,MSCT定位正确率75%(3例),彩色多普勒超声定位准确率50%(2例因肌瘤较大,位置特殊而定位失败);5例为卵巢囊腺癌,MSCT诊断正确率为80%(4例),定位准确率为80%(4例),彩色多普勒超声诊断正确率为60%(3例),定位准确率为60%(3例)。结论彩色多普勒超声和MSCT对女性盆腔囊性和囊实性包块的定性诊断具有较高的价值,但MSCT定位较彩色多普勒超声更为准确。Objective To summarize the diagnosis imaging features of the female pelvis atypical cystic mass by contrasting multislice spiral CT（MSCT） and ultrasonography,and improve the diagnosis and localization accuracy rate of MSCT and ultrasonography for pelvic atypical cystic and solid mass.Methods All of 39 female patients with pelvic cystic and solid mass cystic in Xinjiang were enrolled,who were 27-62 years old with a mean age of 39.5.The color Doppler ultrasound and MSCT were performed in preoperative imaging diagnosis,then confirmed by surgery and pathology.The diagnosis and localization accuracy of color Doppler ultrasound and multislice CT imaging were retrospective analyzed.Results In 39 patients,5 were pelvic hydatid（2 of single capsule type,3 of polycystic type,and 1 was combined with hydatid cyst rupture）,MSCT diagnosis correct rate was 80 %（4 cases）,positioning accuracy rate was 100 %（5 cases）,color Doppler ultrasound diagnosis correct rate was 60 %（3 cases）,positioning accuracy rate was 40 %（2 cases）;25 cases were atypical ovarian cystadenoma（7 of unicystic and 18 of polycystic）,MSCT diagnostic accuracy rate was 88 %（22/98 cases）,correct positioning rate was 84 %（21 cases）,color Doppler ultrasound diagnosis accuracy rate was 60 %（15 cases）,positioning accuracy rate was 52 %（13 cases）;4 cases were cystic degeneration of large uterine fibroid,the diagnosis correct rate of MSCT and color Doppler ultrasound were both 100 %,the positioning accuracy rate was 75 % for CT（n = 3） while 50 % for color Doppler ultrasound（2 cases positioning failure by muscle tumor’s special position）.Five cases were ovarian cystadenocarcinoma,MSCT diagnosis accuracy rate was 80 %（4 cases）,positioning accuracy rate was 80 %（4 cases）,color Doppler ultrasound diagnosis correct rate was 60 %（3 cases）,the positioning accuracy was 60 %（3 cases）.Conclusion It is demonstrated that in qualitative diagnostic of the female pelvic atypical solid and cystic mass,MSCT and ultraso

关 键 词：女性盆腔疾病 囊性包块 囊实性包块 彩色多普勒超声 多层螺旋CT 

分 类 号：R445.1[医药卫生—影像医学与核医学]