多层螺旋CT和高场MRI对女性盆腔囊性病变的鉴别诊断价值分析  

Value analysis of multi-slice spiral CT and high field MRI in differential diagnosis of female pelvic cystic lesions

作　　者：阎海林 石太峰 侯卓 程山忠 程锋 Yan Hailin;Shi Taifeng;Hou Zhuo;Cheng Shanzhong;Cheng Feng(Department of Imaging,Rugao Boai Hospital,Rugao 226500,Jiangsu,China)

机构地区：[1]如皋博爱医院影像科,江苏如皋226500

出　　处：《实用妇科内分泌电子杂志》2022年第17期58-62,共5页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨对女性盆腔囊性病变采用多层螺旋CT和高场磁共振成像(MRI)检查的鉴别诊断价值。方法选取40例盆腔囊性病变患者,均予以多层螺旋CT、高场MRI检查,以手术病理结果为金标准,分析多层螺旋CT和高场MRI对良恶性的诊断效能及对各类囊性病变的鉴别诊断价值,并总结各类盆腔囊性病变的影像学特征。结果多层螺旋CT在良恶性鉴别上诊断准确率87.50%、敏感性93.10%、特异性72.73%,与高场MRI的95.00%、96.55%、90.91%比较无显著差异(χ^(2)=1.333、0.000、0.500,P>0.05)。多层螺旋CT对各类囊性病变的鉴别诊断准确率80.00%(32/40),与金标准一致性一般(Kappa=0.730),无显著差异(χ^(2)=2.333,P>0.05)。高场MRI对女性盆腔囊性病变的鉴别诊断准确率92.50%(37/40),与金标准一致性较好(Kappa=0.911),无显著差异(χ^(2)=3.000,P>0.05)。结论多层螺旋CT、高场MRI在女性盆腔囊性疾病诊断上均有较高应用价值,临床应根据需求合理选择。Objective To investigate the value of multi-slice spiral CT and high-field magnetic resonance imaging(MRI)in diff erential diagnosis of female pelvic cystic lesions.Methods 40 patients with pelvic cystic lesions were selected and examined by multi-slice spiral CT and high-field MRI.The diagnostic effi cacy of multi-slice spiral CT and high-fi eld MRI in the diagnosis of benign and malignant lesions and the value of diff erential diagnosis of various types of cystic lesions were analyzed using surgical pathological results as the gold standard.Results The diagnostic accuracy,sensitivity and specificity of MSCT were 87.50%,93.10% and 72.73%,which were not signifi cantly diff erent from those of high-fi eld MRI(95.00%,96.55%and 90.91%,χ^(2)=1.333,0.000,0.500,P>0.05).The differential diagnosis accuracy of MSCT for various cystic lesions was 80.00%(32/40),which was in general agreement with the gold standard(Kappa=0.730),and there was no significant difference(χ^(2)=2.333,P>0.05).The diff erential diagnosis accuracy of high-fi eld MRI for female pelvic cystic lesions was 92.50%(37/40),which was in good agreement with the gold standard(Kappa=0.911),and there was no signifi cant diff erence(χ2=3.000,P>0.05).Conclusion MSCT and HIGH-fi eld MRI have high application value in the diagnosis of female pelvic cystic disease,and should be rationally selected according to clinical needs.

关 键 词：多层螺旋CT 高场磁共振成像 女性盆腔囊性病变 鉴别诊断 诊断效能 

分 类 号：R711[医药卫生—妇产科学]