螺旋CT和MR联合检测在女性盆腔囊性病变诊断中应用价值  

The Value of Combined Spiral CT and MR in the Diagnosis of Female Pelvic Cystic Lesions

作　　者：张洁[1] 张艳春[1] 邱婉莉 Zhang Jie;Zhang Yan-chun;Qiu Wan-li(Department of Imaging,Suining County People's Hospital,Suining 221200,Jiangsu Province,China)

机构地区：[1]睢宁县人民医院影像科,江苏睢宁221200

出　　处：《中国社区医师》2022年第35期93-95,共3页Chinese Community Doctors

摘　　要：目的:探讨女性盆腔囊性病变运用螺旋电子计算机断层扫描(CT)和磁共振(MR)联合检查的临床诊断效果。方法:选取2019年1月-2021年11月睢宁县人民医院收治的34例疑似女性盆腔囊性病变患者为研究对象,根据检查方式,分为观察组与对照组。观察组行螺旋CT和MR联合检查,对照组行单一螺旋CT检查,以手术病理诊断作为金标准。比较两组诊断符合率、灵敏度、特异度、疾病类型诊断准确率,分析影像学特征。结果:对照组检出阳性患者28例,阴性患者6例,其中假阴性5例(漏诊),假阳性2例(误诊)。观察组检出阳性患者31例,阴性患者3例,其中假阴性1例(漏诊),假阳性1例(误诊)。观察组诊断符合率、灵敏度高于对照组,差异有统计学意义(P<0.05)。两组诊断特异度比较,差异无统计学意义(P>0.05)。观察组疾病类型诊断准确率高于对照组,差异有统计学意义(P<0.05)。结论:女性盆腔囊性病变运用螺旋CT和MR联合检查准确性较高,可以对患者进行全面检查,获得清晰的影像学资料,降低外界因素的干扰。Objective:To explore the clinical diagnostic effect of combined detection of pelvic cystic lesions in women using spiral electron computed tomography(CT)and magnetic resonance(MR).Methods:Thirty-four patients with suspected female pelvic cystic lesions admitted to Suining County People’s Hospital from January 2019 to November 2021 were selected as study subjects and divided into observation group and control group according to the detection method.The observation group performed combined spiral CT and MR detection,and the control group performed single spiral CT detection,using surgical pathology diagnosis as the gold standard,comparing the diagnostic compliance rate,sensitivity,specificity,diagnostic accuracy of disease type,and analysis of imaging characteristics between the two groups.Results:28 positive patients,6 negative patients,5 false negatives(missed diagnosis)and 2 false positives(misdiagnosis)were detected in the control group;31 positive patients,3negative patients,1 false negative(missed diagnosis)and 1 false positive(misdiagnosis)were detected in the observation group,and the diagnostic compliance rate and sensitivity of the observation group were higher than those of the control group,with statistically significant differences(P<0.05);the differences in diagnostic specificity between the two groups were not significant(P>0.05);the diagnostic accuracy rate of disease types in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The combined detection of spiral CT and MR in women with pelvic cystic lesions is more accurate,and can provide a comprehensive examination of the patient’s disease,obtain clear imaging data,and reduce the interference of external factors.

关 键 词：螺旋CT MR检查 女性盆腔囊性病变 

分 类 号：R711[医药卫生—妇产科学]