超声与MRI在鉴别女性盆腔肿物中的诊断价值对比  

Diagnostic Values of Ultrasound and MRI in Differentiating Female Pelvic Masses

作　　者：刘芸[1] 董菊芳[1] 刘蓉[1] 赵长江[2] 李琼兰[1] 周畅[1] Liu Yun;Dong Jufang;Liu Rong;Zhao Changjiang;Li Qionglan;Zhou Chang(Department of Ultrasound,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China;Department of Imaging,Yichang Central People's Hospital,The First College of Clinical Medical Science,China Three Gorges University,Yichang 443003,China)

机构地区：[1]三峡大学第一临床医学院[宜昌市中心人民医院]超声科,湖北宜昌443003 [2]三峡大学第一临床医学院[宜昌市中心人民医院]放射影像科,湖北宜昌443003

出　　处：《巴楚医学》2023年第3期75-79,共5页Bachu Medical Journal

基　　金：湖北省卫生计生委面上项目(No:WJ2017M225)。

摘　　要：目的:探讨超声与核磁共振(MRI)在鉴别女性盆腔肿物中的诊断价值。方法:选取2020年1月-2022年12月于宜昌市中心人民医院行手术治疗的65例女性盆腔肿物患者,收集所有患者的临床资料,内容包括术前超声及MRI检查结果、术后病理资料等。结果:在盆腔肿物的定位诊断中,MRI检查的准确率高于超声(95.38%vs 83.08%,P<0.05),其中腹膜内肿物MRI定位符合率97.92%,超声定位符合率为93.75%;腹膜后肿物MRI定位符合率88.24%,超声定位符合率为52.94%。在盆腔肿物诊断良恶性方面,MRI检查的灵敏度(98.00%vs 92.00%)、特异度(86.67%vs 66.67%)和符合率(95.38%vs 86.15%)均优于超声检查组。良性病变最常见的病理类型为子宫肌瘤、卵巢囊肿及输卵管积液/积脓,恶性病变最常见的病理类型为腹膜后淋巴肿瘤、卵巢恶性肿瘤。本研究发现腹膜内与腹膜后肿物平均直径差异有统计学意义(4.5±1.7 cm vs 7.9±3.4 cm)(P<0.05)。结论:MRI在女性盆腔肿物定位及良恶性鉴别诊断方面均优于超声。Objective:To explore the diagnostic value of ultrasound and magnetic resonance imaging(MRI)in differentiating female pelvic masses.Methods:A total of 65 female patients with pelvic masses who underwent surgical treatment in Yichang Central People's Hospital from January 2020 to December 2022 were selected.Clinical data of all patients were collected,including preoperative ultrasound,MRI results and postoperative pathological data.Results:In the diagnosis of pelvic masses,the accuracy of MRI was higher than that of ultrasound(95.38%vs 83.08%,P<0.05).The coincidence rate intraperitoneal masses localization was 97.92%for MRI,and 93.75%for ultrasound.The coincidence rate retroperitoneal masses localization was 88.24%for MRI,and 52.94%for ultrasound,respectively.In the diagnosis of benign and malignant pelvic masses,the sensitivity(98.00%vs 92.00%),specificity(86.67%vs 66.67%)and accuracy(95.38%vs 86.15%)of MRI were superior to those of ultrasound.The most common pathological types of benign lesions were uterine fibroids,ovarian cysts and hydrosalpinx/pyosalpinx.The most common pathological types of malignant lesions were retroperitoneal lymphoid tumors and ovarian malignancies.In this study,the mean diameter of intraperitoneal and retroperitoneal masses was significantly different(4.5±1.7 cm vs 7.9±3.4 cm)(P<0.05).Conclusion:MRI is superior to ultrasound in locating pelvic masses and differential diagnosis of benign and malignant lesions.

关 键 词：超声 MRI 女性盆腔肿物 腹膜内肿物 腹膜后肿物 

分 类 号：R445.1[医药卫生—影像医学与核医学]