多层螺旋CT对女性盆腔囊性病变的鉴别诊断准确率探讨  

Diagnostic accuracy of multi-slice spiral CT in female pelvic cystic lesions

作　　者：刘勇[1] 李凤国 Liu Yong;Li Fengguo(Department of Radiology,Affiliated Hospital of Baicheng Medical College,Baicheng 137000,China)

机构地区：[1]白城医学高等专科学校附属医院放射科,吉林白城137000

出　　处：《实用妇科内分泌电子杂志》2023年第5期99-101,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的分析多层螺旋CT对女性盆腔囊性病变的鉴别诊断准确率。方法选取40例女性盆腔囊性病变患者,其中卵巢囊肿患者15例,卵巢内膜异位囊肿患者10例,子宫肌瘤8例,感染性包块7例,患者均进行超声检查和多层螺旋CT检查,比较两种不同检查方法的检出率。结果多层螺旋CT检查卵巢囊肿准确率100%、卵巢内膜异位囊肿准确率90.00%、子宫肌瘤准确率87.50%、感染性包块准确率100%均高于超声检查的60.00%、40.00%、37.50%、28.57%,差异有统计学意义(P<0.05)。多层螺旋CT检查定位准确率优于超声检查,差异有统计学意义(P<0.05)。结论对女性盆腔病变患者进行鉴别诊断时,选用多层螺旋CT检查能有效地提高诊断的准确率,将患者盆腔囊性病变程度以图像的方式清晰地呈现,值得临床推广。Objective To analyze the differential diagnosis accuracy of multi-slice spiral CT in female pelvic cystic lesions.Methods 40 female patients with pelvic cystic lesions were selected,including 15 patients with ovarian cyst,10 patients with endometriosis cyst,8 patients with uterine fibroids,and 7 patients with infectious mass.All patients underwent ultrasound examination and multislice spiral CT examination,and the detection rates of the two different examination methods were compared.Results The accuracy of multislice spiral CT in the examination of ovarian cyst was 100%,endometriosis cyst 90.00%,uterinefibroid 87.50%and infectious mass 100%,which were higher than those of ultrasound examination(60.00%,40.00%,37.50%and 28.57%),and the differences were statistically significant(P<0.05).The localization accuracy of multi-slice spiral CT was better than ultrasound,and the difference was statistically significant(P<0.05).Conclusion In the differential diagnosis of female patients with pelvic lesions,the selection of multi-slice spiral CT can effectively improve the accuracy of diagnosis and clearly present the degree of pelvic cystic lesions in the way of images,which is worthy of clinical promotion.

关 键 词：多层螺旋CT 超声 盆腔囊性病变 诊断准确率 

分 类 号：R711.7[医药卫生—妇产科学] R816.91[医药卫生—临床医学]