摘要
目的探讨CT、磁共振(MRI)诊断盆腔子宫内膜异位症的应用价值。方法选取2018年3月至2021年2月我院收治的疑似盆腔子宫内膜异位症患者104例,均行CT诊断和MRI诊断,以术后病理结果为“金标准”,统计CT诊断和MRI诊断的诊断结果和诊断效能。结果本组104例疑似盆腔子宫内膜异位症患者,经术后病理结果确诊阳性82例,阴性22例;采用CT诊断出真阳性72例,真阴性13例;采用MRI诊断出真阳性81例,真阴性21例;MRI诊断灵敏度98.78%(81/82)、特异度95.45%(21/22)、准确度98.08%(102/104)较CT诊断灵敏度[87.80%(72/82)]、特异度[59.09%(13/22)]、准确度[81.73%(85/104)]高,漏诊率1.22%(1/82)、误诊率4.55%(1/22)较MRI诊断漏诊率[12.20%(10/82)]、误诊率[40.91%(9/22)]低,差异有统计学意义(P<0.05)。结论与CT诊断相比,MRI诊断盆腔子宫内膜异位症的诊断灵敏度、特异度、准确度更高,并可降低漏诊率、误诊率,为临床诊断提供有效信息支持。
Objective To investigate the application value of CT,magnetic resonance(MRI)in the diagnosis of pelvic endometriosis.Methods Selected 104 patients with suspected pelvic endometriosis in our hospitel from March 2018 to February 2021,all with CT diagnosis and MRI diagnosis,with the postoperative pathological results as"golden standard",and the efficacy of CT diagnosis and MRI diagnosis were measured.Results 104 patients with suspected pelvic endometriosis,Postoperative pathological results were confirmed positive for 82 cases,Negative for 22 cases;Diagsing 72 positive cases with CT,True negative for 13 cases;81 positive cases with MRI,True negative for 21 cases;MRI Diagnostics sensitivity 98.78%(81/82),specificity 95.45%(21/22),accuracy 98.08%(102/104)is higher than CT diagnosis 87.80%(72/82),59.09%(13/22),81.73%(85/104),Missing rate of 1.22%(1/82),misdiagnosis rate of 4.55%(1/22)is lower than 12.20%(10/82),40.91%(9/22).The differences are statistically significant(P<0.05).Conclusion Compared with CT diagnosis,MRI has higher diagnostic sensitivity,specificity and accuracy,which can reduce missed diagnosis rate and misdiagnosis rate and provide effective information support for clinical diagnosis.
作者
刘向东
闫松果
孙世松
LIU Xiang-dong;YAN Song-guo;SUN Shi-song(Department of Medical Imaging,Pingdingshan River Dance General Hospital,Pingdingshan 462500,Henan Province,China)
出处
《罕少疾病杂志》
2022年第6期94-95,共2页
Journal of Rare and Uncommon Diseases
