彩色多普勒超声及MSCT对女性盆腔包块诊断价值对比研究  

Comparative study of color Doppler ultrasound and MSCT in the diagnosis of female pelvic mass

作　　者：蒋丽娜[1] 郑东[1] 张露月[1] 孟青[1] 张嘉舟 林豪[1] 燕香菊 JIANG Li-na;ZHENG Dong;ZHANG Lu-yue(Functional Department of Dazhou Integrated Traditional Chinese and Western Medicine Hospital,Dazhou 635000,Sichuan Province,China)

机构地区：[1]达州市中西医结合医院功能科,四川达州635000

出　　处：《中国CT和MRI杂志》2020年第12期123-125,共3页Chinese Journal of CT and MRI

基　　金：四川省科技厅资助项目(2014JY0187)。

摘　　要：目的研究彩色多普勒超声及MSCT对女性盆腔包块诊断价值。方法选取本院2017年5月至2018年7月接受治疗的84例患有妇科盆腔肿块的女性患者,收集其临床及影像学资料,总结盆腔包块在彩色多普勒超声及MSCT检查中的图像表现,计算两种检查对盆腔包块的诊断率。结果经彩色多普勒超声检查符合的有75例,诊断率为86.90%;经MSCT检查符合的有81例,诊断率为96.42%;经彩色多普勒超声检查的诊断率明显低于MSCT检查的诊断率,差异具有统计学意义(P<0.05)。彩色多普勒超声图像可见肿瘤轮廓清晰,呈圆形或椭圆形无回声区,形态不规则,囊壁纤薄,光滑完整,宫颈增大,形态如常或失常,边界不清晰,肿块内见丰富的血流信号,常呈高速低阻的动脉血流频谱;边界清楚,包膜完整,呈星花状型;子宫增大,底部见一较大类圆形肿块,回声增强不均匀,肿块与子宫关系密切但有界限;MSCT图像可见呈圆形或椭圆形,边界清楚,形态不规则,肿瘤呈囊实性,以实性为主,表现为不规则团块状;宫颈增大、增厚,增强扫描可见明显不均匀强化;肿块中有脂肪、钙化样密度影,出现液-脂平面现象;边缘清晰,大部分为实性部分密度降低,肿块与子宫相连,周围组织受压。结论采用彩色多普勒超声检查和MSCT检查均可有效显示不同类型盆腔包块影像学特点,为术前诊断提供影像学依据。Objective To study the diagnostic value of color Doppler ultrasound and MSCT in female pelvic mass.Methods A total of 84 female patients with pelvic mass of gynecology who were treated from May 2017 to July 2018 were enrolled.Clinical and imaging data were collected and the image performance of the pelvic mass in color Doppler ultrasound and MSCT examination was summarized.The diagnostic rate of the two examinations for the pelvic mass was calculated.Results There were 75 cases that were corresponding diagnosed by color Doppler ultrasound examination,the diagnosis rate was 86.90%.There were 75 cases that were corresponding diagnosed by MSCT,the diagnostic rate was 96.42%.The diagnostic rate of color Doppler ultrasonography is significantly lower than that of MSCT examination.The difference was statistically significant(P<0.05).Color Doppler ultrasound images showed clear outline of the tumor which showed a circular or elliptical area without echo and with irregular shape,thin,smooth and complete wall.The cervix was enlarged,the shape was abnormal or abnormal,and the boundary was not clear.There were rich signals of blood flow in the mass,which showed often arterial spectrum of blood flow with high speed and low resistance,and the boundary was clear,the capsule was intact,and it was star-shaped.The uterus was enlarged,and a large round mass was seen at the bottom.The echo was unevenly enhanced.The mass was closely related to the uterus but had boundary.The MSCT images can show round or elliptical tumor with clear boundaries and irregular shapes.The tumor was cystic and solid,and main was solid.The tumor showed irregular flaky shape.The cervix was enlarged and thickened,and the enhanced scan showed obvious and uneven enhancement.There was fat and density shadow like calcification and there was a liquid-lipid plane phenomenon in the mass.The density of the solid part in most of the mass was reduced,the mass was connected to the uterus,and the surrounding tissue was compressed.Conclusion Color Doppler ultrasound and

关 键 词：彩色多普勒超声 MSCT 盆腔包块 

分 类 号：R711[医药卫生—妇产科学]