摘要
目的:分析多层螺旋CT(MSCT)在女性盆腔附件囊性病变中的诊断效能。方法:选取2021年8月—2022年8月莱州市中医医院收治的125例盆腔附件囊性病变患者,对所有患者均施以超声、MSCT检查,以病理检查为“金标准”,统计分析超声、MSCT在盆腔附件囊性病变中的诊断效能。结果:125例盆腔附件囊性病变患者中,经病理检查证实为恶性57例,均为卵巢囊腺癌;良性68例,其中卵巢囊腺瘤20例,卵巢囊肿34例,子宫肌瘤14例;MSCT检查恶性盆腔附件囊性病变的灵敏度为94.74%、准确率为96.80%、阴性预测值为95.71%,高于超声检查的77.19%、87.20%、83.33%(P<0.05);MSCT诊断卵巢囊腺瘤的符合率高于超声检查(P<0.05);两者对卵巢囊腺瘤、卵巢囊肿、子宫肌瘤的诊断符合率相比差异不显著(P>0.05)。结论:MSCT在女性盆腔附件囊性病变诊断内效果显著,可有效鉴别出病变的良恶性,具有较高的诊断效能,临床可行大力推行。
Objective To analyze the differential diagnostic efficacy of multi-slice spiral CT(MSCT)in female pelvic adnexal cystic lesions.Methods 125 patients with pelvic adnexal cystic lesions admitted to Laizhou Hospital of Traditional Chinese Medicine from August 2021 to August 2022 were selected.All patients were examined by ultrasound and MSCT,with pathological examination as the"gold standard".The diagnostic efficacy of ultrasound and MSCT in pelvic adnexal cystic lesions was statistically analyzed.Results Among 125 patients with pelvic adnexal cystic lesions,57 cases were confirmed malignant by pathological examination,all of which were ovarian cystadenocarcinoma.There were 68 benign cases,including 20 ovarian cystadenomas,34 ovarian cysts and 14 uterine fibroids.The sensitivity,accuracy and negative predictive value of MSCT for malignant pelvic adnexal cystic lesions were 94.74%,96.80%and 95.71%,which were higher than ultrasound of 77.19%,87.20%and 83.33%(P<0.05).The coincidence rate of MSCT in the diagnosis of ovarian cystadenoma was higher than that of ultrasound(P<0.05).There was no significant difference in the diagnostic coincidence rate of cystadenoma,ovarian cyst and uterine myoma between the two groups(P>0.05).Conclusions MSCT has a significant effect in the diagnosis of female pelvic adnexal cystic lesions,and can effectively distinguish between benign and malignant lesions.It has high diagnostic efficacy and is feasible to vigorously promote in clinical practice.
作者
毛彩楠
MAO Cainan(Medical Imaging Center,Laizhou Hospital of Traditional Chinese Medicine,Yantai,Shandong 261400,China)
出处
《影像研究与医学应用》
2023年第18期17-19,共3页
Journal of Imaging Research and Medical Applications
关键词
女性盆腔附件囊性病变
多层螺旋CT
诊断效能
Female pelvic adnexal cystic lesions
Multi slice spiral CT
Diagnostic effectiveness
