CT影像学检查妇科盆腔肿块的诊断价值  

Diagnostic value of CT imaging in gynecological pelvic mass

作　　者：徐彦飞 Xu Yanfei(CT Room,Tonghua People's Hospital,Tonghua 134001,China)

机构地区：[1]吉林省通化市人民医院CT室,吉林通化134001

出　　处：《实用妇科内分泌电子杂志》2022年第17期66-68,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究在妇科盆腔肿块诊断中应用CT影像学检查的临床价值。方法选取100例妇科盆腔肿块患者,均接受B超检查、CT影像学检查,并以手术病理检查结果为金标准,对比诊断符合率及观察CT影像学检查中妇科盆腔肿块的典型特征。结果经手术病理检查发现,单纯性卵巢囊肿38例,子宫肌瘤26例,卵巢畸胎瘤10例,宫颈癌9例,卵巢囊腺癌5例,盆腔脓肿5例,水泡状胎块4例,子宫内膜癌3例。CT影像学检查的诊断符合率(95.0%)高于B超检查(88.0%),差异有统计学意义(P<0.05)。结论在妇科盆腔肿块诊断中,CT影像学检查的诊断符合率较高,可以结合典型特征进行诊断及鉴别诊断,为临床诊疗提供支持。Objective To study the clinical value of CT imaging in the diagnosis of gynecological pelvic mass.Methods 100 patients with gynecological pelvic mass were selected and received B-ultrasound examination and CT imaging examination.The results of surgical pathology examination were taken as the gold standard.The diagnostic coincidence rate was compared and the typical characteristics of gynecological pelvic mass in CT imaging examination were observed.Results Pathological examination showed 38 cases of simple ovarian cyst,26 cases of uterine myoma,10 cases of ovarian teratoma,9 cases of cervical cancer,5 cases of ovarian cystadenocarcinoma,5 cases of pelvic abscess,4 cases of vesicular fetal mass,and 3 cases of endometrial cancer.95 cases(95.0%)were detected by CT imaging examination and 88 cases(88.0%)were detected by B-ultrasound examination(P<0.05).Conclusion In the diagnosis of gynecological pelvic mass,CT imaging examination has a high diagnostic coincidence rate,which can be combined with typical features for diagnosis and diff erential diagnosis.

关 键 词：CT影像学 妇科盆腔肿块 诊断符合率 诊断价值 

分 类 号：R816.91[医药卫生—放射医学] R711.33[医药卫生—临床医学]