磁共振成像联合CT在诊断女性良恶性盆腔肿瘤中的价值  

The value of magnetic resonance imaging combined with CT in diagnosing benign and malignant pelvic tumors in women

作　　者：习志兵 刘炳 井荷如 刘飒 Xi Zhibing;Liu Bing;Jing Heru;Liu Sa(Department of CT and MRI,Dengzhou Hospital of Traditional Chinese Medicine,Dengzhou 474150,China)

机构地区：[1]邓州市中医院CT/磁共振科,邓州474150

出　　处：《实用医技杂志》2025年第2期105-108,I0002,共5页Journal of Practical Medical Techniques

摘　　要：目的探讨在女性良恶性盆腔肿瘤诊断中采用磁共振成像(MRI)联合电子计算机断层扫描(CT)的临床价值。方法选择邓州市中医院2022年1月至2024年4月诊治的86例女性盆腔肿瘤患者为研究对象,采用随机抽样法将其分为对照组(43例)与观察组(43例)。对照组采用单一CT诊断,以此为基础观察组联合采用MRI诊断,比较2组诊断情况,总结MRI成像联合CT在诊断女性良恶性盆腔肿瘤中的价值。结果以病理检查结果作为“金标准”,观察组恶性肿瘤确诊30例,良性肿瘤13例;对照组恶性肿瘤确诊32例,良性肿瘤11例。在诊断情况方面,观察组患者联合检测恶性肿瘤31例,良性肿瘤12例;对照组患者CT检测恶性肿瘤23例,良性肿瘤4例。观察组与病理检查结果的一致性较好,且高于对照组(P<0.05);观察组诊断女性良恶性盆腔肿瘤的准确率为97.7%(42/43),灵敏度为100%(30/30),特异度为92.3%(12/13),均高于对照组的62.8%(27/43)、71.9%(23/32)、36.4%(4/11)(P<0.05)。绘制受试者工作特征(ROC)曲线,观察组曲线下面积(AUC)=0.905;对照组AUC=0.723,观察组诊断效能高于对照组。结论在诊断女性良恶性盆腔肿瘤中,相比于单一CT诊断方式,MRI成像联合CT诊断效果更为良好,可为该疾病患者的早期治疗提供有效依据。Objective To explore the clinical value of magnetic resonance imaging(MRI)combined with computed tomography(CT)in the diagnosis of benign and malignant pelvic tumors in women.Methods Eighty-six female pelvic tumor patients diagnosed and treated by Dengzhou Hospital of Traditional Chinese Medicine from January 2022 to April 2024 were selected as the study subjects,and were divided into the control group(n=43)and the observation group(n=43)by random sampling method,and the control group was diagnosed by a single CT,and the observation group was diagnosed by a combination of MRI based on the control group,and the diagnostic situation of the two groups was compared,and the clinical value of the combination of MRI and CT in the diagnosis of benign and malignant pelvic tumors was summarized.The value of MRI imaging combined with CT in the diagnosis of benign and malignant pelvic tumors in women was summarized.Results Taking the pathological examination results as the“gold standard”,30 cases of malignant tumors and 13 cases of benign tumors were diagnosed in the observation group,and 32 cases of malignant tumors and 11 cases of benign tumors were diagnosed in the control group;in terms of diagnosis,31 cases of malignant tumors and 12 cases of benign tumors were detected in the observation group,and 23 cases and 4 cases of benign tumors were detected in the control group.23 cases and 4 cases of benign tumors,the consistency between the observation group and the results of pathological examination was better and higher than that of the control group(P<0.05).The accuracy rate of the observation group in diagnosing benign and malignant pelvic tumors in females was 97.7%(42/43),the sensitivity was 100%(30/30),and the specificity was 92.3%(12/13),which were higher than those of the control group,which was 62.8%(27/43),71.88%(23/32),and 36.4%(4/11)(P<0.05).ROC AUC of observation group was 0.905.The AUC of control group was 0.723,and the diagnostic efficiency of observation group was higher than that of control group.Conclu

关 键 词：妇女 盆腔肿瘤 诊断 鉴别 磁共振成像 体层摄影术 X线计算机 

分 类 号：R737.3[医药卫生—肿瘤] R730.44[医药卫生—临床医学] R445.2