MRI与多层螺旋CT检查在巨大浆膜下子宫肌瘤中的诊断价值  

The diagnostic value of MRI and multi-slice spiral CT in the diagnosis of large subserous uterine fibroids

作　　者：曹迎娣 张凌 Cao Yingdi;Zhang Ling(Department of Radiology,Nanjing Gaochun People's Hospital,Nanjing 211300,China)

机构地区：[1]南京市高淳人民医院放射科,江苏南京211300

出　　处：《实用妇科内分泌电子杂志》2024年第17期70-72,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探究磁共振成像(MRI)与多层螺旋CT在巨大浆膜下子宫肌瘤患者中的诊断价值。方法选取55例疑似巨大浆膜下子宫肌瘤患者,均采用MRI、多层螺旋CT诊断,以手术病理诊断结果为金标准,分析MRI、多层螺旋CT的诊断结果以及比较MRI、多层螺旋CT的阳性检出情况、诊断效能。结果经手术病理诊断,55例疑似巨大浆膜下子宫肌瘤患者中,确诊巨大子宫肌瘤35例(63.64%);MRI诊断巨大浆膜下子宫肌瘤30例,检出率为85.71%;多层螺旋CT诊断巨浆膜下大子宫肌瘤27例,检出率为77.14%。MRI与多层螺旋CT阳性检出率比较,差异无统计学意义(P>0.05)。MRI与多层螺旋CT敏感度、特异度、准确率比较差异无统计学意义(P>0.05)。结论在巨大浆膜下子宫肌瘤疾病诊断中,MRI、多层螺旋CT均可达到预期的诊断效果,临床诊断中可将两种诊断方法联合应用,能够达到更高的诊断效能,值得临床推广。Objective To explore the diagnostic value of magnetic resonance imaging(MRI)and multi-slice spiral CT in patients with large subserous uterine fibroids.Methods 55 patients with suspected giant subserous uterine fibroids were selected and diagnosed by MRI and multi-slice spiral CT.The diagnostic results of MRI and multi-slice spiral CT were analyzed,and the positive detection and diagnostic efficiency of MRI and multi-slice spiral CT were compared.Results After surgical and pathological diagnosis,35 cases(63.64%)of 55 suspected patients with giant subserous fibroids were confirmed.MRI diagnosis of giant subserons uterine fibroids in 30 cases,the detection rate was 85.71%;Multislice spiral cT diagnosed 27 cases of giant subserons uterine fibroids,the detection rate was 77.14%.There was no significant difference in the positive detection rate between MRI and multi-slice spiral CT(P>0.05).There was no significant difference in sensitivity,specificity and accuracy between MRI and multi-slice spiral CT(P>0.05).Conclusion In the diagnosis of giant subserous uterine fibroids,both MRI and multi-slice spiral cT can achieve the expected diagnostic effect,and the two diagnostic methods can be combined in clinical diagnosis,which can achieve higher diagnostic efficiency and is worthy of clinical promotion.

关 键 词：巨大浆膜下子宫肌瘤 磁共振成像 多层螺旋CT 

分 类 号：R737.33[医药卫生—肿瘤] R445.2[医药卫生—临床医学] R730.44