彩色多普勒超声与MSCT对盆腔良恶性肿瘤诊断鉴别的价值比较  

Comparison of Value of Color Doppler Ultrasound and MSCT in the Diagnosis and Differentiation of Benign and Malignant Pelvic Tumors

作　　者：马强 冯元春 马风荣 余立群[3] 陈雯[3] MA Qiang;FENG Yuan-chun;MA Feng-rong(Department of Gynaecology and Obstetrics,International Hospital of Peking University,Beijing 102206,China)

机构地区：[1]北京大学国际医院放射科,北京102206 [2]北京航空总医院医学影像科,北京100012 [3]北京航空总医院妇科,北京100012

出　　处：《中国CT和MRI杂志》2019年第11期87-89,I0002,共4页Chinese Journal of CT and MRI

摘　　要：目的探讨彩色多普勒超声和多层螺旋CT(MSCT)对盆腔良恶性肿瘤鉴别诊断的价值。方法回顾性分析2016年06月-2018年11月我院收治的104例盆腔肿瘤患者的临床资料。术前均接受彩色多普勒超声和MSCT检查,术后行组织病理学检查。以术后病检结果为“金标准”,比较彩色多普勒超声和MSCT鉴别诊断盆腔良恶性肿瘤的准确性,以及对恶性肿瘤的分期诊断准确率。结果彩色多普勒超声和MSCT鉴别诊断盆腔良恶性肿瘤的灵敏度、特异度、准确率比较,差异无统计学意义(P>0.05);MSCT对妇科盆腔恶性肿瘤的分期诊断准确率高于彩色多普勒超声(P<0.05)。结论CT和彩色多普勒超声诊断鉴别妇科盆腔肿瘤的准确性均较高,但CT在辨别恶性肿瘤分期方面有更高的应用价值。Objective To explore the value of color Doppler ultrasound and multi-slice spiral CT(MSCT)in the differential diagnosis of benign and malignant pelvic tumors.Methods The clinical data of 104 patients with pelvic tumors admitted to our hospital from June 2016 to November 2018 were retrospectively analyzed.All patients were given Color Doppler ultrasound and MSCT before operation,and were given histopathological examination after operation.The postoperative examination results were regarded as the gold standard,and the accuracy of color Doppler ultrasound and MSCT in the differential diagnosis of benign and malignant pelvictumors and the diagnostic accuracy rates of malignant tumors staging were compared.Results There were no statistically significant differences in the sensitivity,specificity and accuracy rate of color Doppler ultrasound and MSCT in the diagnosis of benign and malignant pelvic tumors(P>0.05).The diagnostic accuracy rate of MSCT in the diagnosis of gynecological pelvic malignant tumors staging was higher than that of color Doppler ultrasound(P<0.05).Conclusion CT and color Doppler ultrasound both have high accuracy in the diagnosis of gynecological pelvic tumors,but CT has higher application value in distinguishing the staging of malignant tumors.

关 键 词：彩色多普勒超声 MSCT 盆腔肿瘤 良恶性鉴别 肿瘤分期 

分 类 号：R445.3[医药卫生—影像医学与核医学] R737.3[医药卫生—诊断学]