经阴道超声、CT检查对女性良、恶性盆腔病变的诊断价值对比分析  

Comparison of Diagnostic Value of Transvaginal Ultrasonography and CT in Female Benign and Malignant Pelvic Diseases

作　　者：刘丽 宋健 LIU Li;SONG Jian(Department of Ultrasound, Second People's Hospital of Dongying City, Dongying 257335, Shandong Province, China)

机构地区：[1]山东省东营市第二人民医院超声科,山东东营257335 [2]山东省东营市第二人民医院医学影像科,山东东营257335

出　　处：《中国CT和MRI杂志》2019年第7期116-118,共3页Chinese Journal of CT and MRI

基　　金：山东省科技发展计划项目(2016WS0627)

摘　　要：目的旨在分析经阴道超声、CT检查对女性良、恶性盆腔病变的诊断价值。方法收集2015年7月至2018年8月我院收治的114例女性盆腔病变患者的临床资料及相关影像学资料,以病理学活检或手术检查结果作为诊断标准,计算经阴道超声、CT检查对女性盆腔良、恶盆腔病变的诊断灵敏度及特异度、检出率。结果经阴道超声对良性盆腔肿瘤检出率、灵敏度、特异度分别为94.44%、85.56%、86.67%,CT对良性盆腔肿瘤检出率、灵敏度、特异度分别为100%、92.22%、93.99%,CT对良性盆腔肿瘤检出率明显高于经阴道超声,差异比较具有统计学意义(P<0.05);经阴道超声对恶性盆腔肿瘤检出率、灵敏度、特异度分别为95.65%、86.96%、76.08%,CT对恶性盆腔肿瘤检出率、灵敏度、特异度分别为100、95.65%、93.48%,CT对恶性盆腔肿瘤诊断特异度明显高于经阴道超声,差异比较具有统计学意义(P<0.05)。结论 CT良性盆腔肿瘤检出率、恶性盆腔肿瘤诊断特异度优于经阴道超声检查。Objective To analyze the diagnostic value of transvaginal ultrasound and CT in female benign and malignant pelvic diseases. Methods The clinical and imaging data of 114 female patients with pelvic diseases admitted to our hospital from July 2015 to August 2018 were collected. The diagnostic sensitivity, specificity and detection rate of transvaginal ultrasound and CT in female pelvic benign and malignant pelvic diseases were calculated based on the results of pathological biopsy or surgical examination. Results The detection rate, sensitivity and specificity of transvaginal ultrasound for benign pelvic tumors were94.44%, 85.56% and 86.67%, respectively. The detection rate, sensitivity and specificity of CT for benign pelvic tumors were 100%, 92.22% and 93.99%, respectively. The detection rate of CT for benign pelvic tumors was significantly higher than that of transvaginal ultrasound, and the difference was statistically significant(P<0.05). The detection rate,sensitivity and specificity of transvaginal ultrasound for malignant pelvic tumors were95.65%, 86.96% and 76.08%, respectively. The detection rate, sensitivity and specificity of CT for malignant pelvic tumors were 100%, 95.65% and 93.48%, respectively. The diagnostic specificity of CT for malignant pelvic tumors was significantly higher than that of transvaginal ultrasound(P<0.05). Conclusion The detection rate of CT for benign pelvic tumors and the diagnostic specificity of malignant pelvic tumors are better than that of transvaginal ultrasound.

关 键 词：经阴道超声 CT检查 盆腔病变 诊断价值 

分 类 号：R711.33[医药卫生—妇产科学]