超声及多层螺旋CT鉴别女性盆腔囊性肿块病变的价值比较  

Comparison of the Value of Ultrasound and Multi-slice Spiral CT in Differential Diagnosis of Female Pelvic Cystic Mass

作　　者：蔡新宇[1] 肖蕾[1] 梁晓平[2] 

机构地区：[1]长江大学附属第一医院(荆州市第一人民医院)影像中心,湖北荆州434000 [2]湖北省松滋市中医医院放射科,湖北松滋434200

出　　处：《中国CT和MRI杂志》2016年第2期106-108,129,共4页Chinese Journal of CT and MRI

摘　　要：目的比较超声与CT在女性盆腔囊性肿块病变诊断中的应用价值。方法回顾性分析自2012年3月-2015年3月于我院接受治疗且经手术及病理确诊为盆腔肿块的78例患者的临床资料,所有患者超声及CT诊断资料完整,比较超声及CT在盆腔囊性肿块病变鉴别中的应用价值。结果本组78例盆腔肿块患者,超声检出盆腔包虫、囊实性卵巢囊肿、子宫肌瘤囊性病变及卵巢囊腺癌准确率分别为60.0%、60.0%、50.0%、60.0%,定位准确率分别为40.0%、52.0%、50.0%、60.0%。CT检出盆腔包虫、囊实性卵巢囊肿、子宫肌瘤囊性病变及卵巢囊腺癌准确率分别为80.0%、88.0%、100.0%、80.0%,定位准确率分别为100.0%、84.0%、75.0%、80.0%。CT对上述病变的检出正确率及定位准确率均高于超声诊断。结论在女性盆腔囊性肿块病变的诊断中采用多层螺旋CT检查,其诊断准确率高,定位精准,鉴别价值高,优于彩色多普勒超声诊断,值得推广。Objective To compare the application value of ultrasound and CT in the diagnosis of female pelvic cystic mass lesions. Methods The clinical data of 78 patients with pelvic masses confirmed by surgery and pathology who received treatment in the hospital during March 2012 to March 2015 were retrospectively analyzed. All the diagnostic data of ultrasound and CT of the patients were complete. The application value of ultrasound and CT in the differentiation of pelvic cystic mass lesions. Results Among the 78 cases of patients with pelvic masses, the accurate rates of ultrasound in detection of pelvic echinococcosis, cystic solidary ovarian cyst, uterine fibroid cystic lesion and ovarian cystadenocarcinoma were 60.0%, 60.0%, 50.0% and 60.0%, respectively and the accurate rates of localization were 40.0%, 52.0%, 50.0% and 60.0%, respectively. The accurate rates of CT in detection of pelvic echinococcosis, cystic solidary ovarian cyst, uterine fibroid cystic lesion and ovarian cystadenocarcinoma were 80.0%, 88.0%, 100.0% and 80.0%, respectively and the accurate rates of localization were 100.0%, 84.0%, 75.0% and 80.0%, respectively. The accurate rates of CT in the detection of above lesions were higher than those of ultrasound. Conclusiononclusion In the diagnosis of female pelvic cystic mass lesions, to adopt multi- slice spiral CT examination, the diagnostic accurate rate is high, with accurate positioning and high differentiation value. It is better than color Doppler ultrasound diagnosis and is worthy of promotion.

关 键 词：盆腔囊性肿块 超声 CT 鉴别 

分 类 号：R445.3[医药卫生—影像医学与核医学]