输卵管积液的CT及MRI影像学诊断价值研究  

Value of CT and MRI imaging in the diagnosis of hydrosalpinx

作　　者：赵祖来[1] 徐志勇[1] 周玉末 鲜明[1] 

机构地区：[1]湖北省黄冈市中医医院放射科,黄冈438000

出　　处：《磁共振成像》2017年第1期42-44,共3页Chinese Journal of Magnetic Resonance Imaging

摘　　要：目的对输卵管积液者应用CT和MRI影像学诊断的价值进行研究。材料与方法回顾性分析2013年8月至2016年8月本院诊治的输卵管积液64例患者临床资料,按照随机方法和临床所用不同影像学诊断技术分成对照组及观察组,各为32例,前者用CT技术诊断,对后者用MRI技术诊断,观察及对比两组影像学表现和漏诊、准确概率。结果 CT诊断32例患者均是囊性肿块,其中22例(68.75%)边界清晰,双侧肿块4例(12.50%),位于左、右侧附件区分别为15例(46.88%)、13例(40.63%);MRI诊断肿块边缘较光整,外形呈S或C形腊肠样;观察组诊断漏诊概率均比对照组低,且诊断准确概率(96.88%)比对照组(78.13%)高(P<0.05)。结论输卵管积液借助MRI影像学诊断价值高,能够获得清晰影像学资料,减少漏诊发生,提高疾病诊断准确概率,且于实际操作中可将两种技术联合使用,以发挥各自优势。Objective： To study the diagnostic value of CT and MR1 for hydrosalpinx. Materials and Methods： The clinical data of 64 patients diagnosed with hydrosalpinx in our hospital between August 2013 and August 2016 were analyzed, and were divided into a control group and an observation group according to the different imaging techniques applied, with 32 cases in each group. The control group was diagnosed by CT, and the observation group by MRI. The specific diagnostic values in the two groups were observed and compared. Results： All the 32 cases were confirmed with cystic masses by CT diagnosis, among which 22 （68.75%） were with clear boundary masses and 4 with bilateral masses （12.50%）, with 15 cases （46.88%） with masses in the leit adnexa and 13 （40.63%） in the right adnexa, MRl diagnosis showed that, the edge of the masses was smooth, S-shaped or C shaped like sausage. The proportion of missed diagnosis and misdiagnosis in the observation group was 3.12%, lower than the 21.88% in the control group, and diagnosis accuracy was 96.88%, higher than the 78.13% in the control group （P〈0.05）. Conclusions： For the diagnosis of hydrosalpinx, MRI is with higher diagnostic value, which can obtain clear imaging data, reduce misdiagnosis or missed diagnosis, and improve the diagnosis accuracy, therefore, it is of significant value to be popularized in clinical application. Besides, in actual practice, CT and MRI could be combined together to play their respective advantages.

关 键 词：输卵管积液 磁共振成像 体层摄影术 X线计算机 

分 类 号：R445.2[医药卫生—影像医学与核医学] R711.76[医药卫生—诊断学]