摘要
目的比较16排多层螺旋CT和经阴道超声对女性盆腔肿瘤的诊断价值。方法收集73例盆腔肿瘤患者的临床资料和影像学资料,所有患者术前均行16排多层螺旋CT检查和经阴道超声检查,以术后病理检查结果为"金标准",比较2种方法诊断恶性盆腔肿瘤的灵敏度、特异度、准确度及分期诊断准确率。结果手术病理确诊恶性肿瘤53例,良性肿瘤20例;16排多层螺旋CT检出宫颈癌30例、卵巢癌13例、子宫内膜癌4例、子宫肌瘤11例、卵巢良性肿瘤6例;经阴道超声检出宫颈癌29例、卵巢癌12例、子宫内膜癌4例、子宫肌瘤10例、卵巢良性瘤5例。16排多层螺旋CT对恶性盆腔肿瘤的诊断灵敏度、特异度、准确度分别为88.68%、85.00%、87.67%,高于经阴道超声的84.19%、75.00%、82.19%,但差异均无统计学意义(P> 0.05);16排多层螺旋CT对恶性盆腔肿瘤的分期诊断准确率为83.02%,高于经阴道超声的66.04%,差异有统计学意义(P <0.05)。结论 16排多层螺旋CT和经阴道超声诊断女性盆腔肿瘤的灵敏度、特异度和准确度均较高,但前者在恶性盆腔肿瘤的分期评估中更具优势。
Objective To compare the value of 16-slice spiral CT scanning and transvaginal ultrasound in diagnosing female pelvic tumors. Methods The clinical and imaging materials of 73 patients with pelvic tumors were collected,and all the patients underwent 16-slice spiral CT and transvaginal ultrasound examinations before operation. Taking postoperative pathological results as the " gold standard",the sensitivity,specificity,accuracy and staging accuracy rate of the two methods were compared. Results Totally 53 cases were confirmed as malignant tumor and 20 cases as benign tumor by operation and pathology. A total of 30 cases with cervical cancer,13 cases with ovarian cancer,4 cases with endometrial cancer,11 cases with uterine fibroids and 6 cases with ovarian benign tumor were accurately diagnosed by 16-slice spiral CT,and 29 cases with cervical cancer,12 cases with ovarian cancer,4 cases with endometrial cancer,10 cases with uterine fibroids and 5 cases with ovarian benign tumor were detected by transvaginal ultrasound. The sensitivity,specificity and accuracy of 16-slice spiral CT in the diagnosis of malignant pelvic tumors were 88. 68%,85. 00% and 87. 67%respectively,which were higher than 84. 19%,75. 00% and 82. 19% of transvaginal ultrasound,but there were no significant differences between two groups (P > 0. 05). The accuracy rate of 16-slice spiral CT in staging malignant pelvic tumors was 83. 02%,which was significantly higher than 66. 04% of transvaginal ultrasound (P < 0. 05). Conclusion The sensitivity,specificity and accuracy of both 16-slice spiral CT and transvaginal ultrasound are higher in the diagnosis of female pelvic tumors,but the former is more advantageous in the staging evaluation of malignant pelvic tumors.
作者
肖斌
XIAO Bin(Huichang County People’s Hospital of Ganzhou City in Jiangxi Province,Ganzhou,Jiangxi,342600)
出处
《实用临床医药杂志》
CAS
2020年第20期72-74,78,共4页
Journal of Clinical Medicine in Practice
基金
江西省赣州市科技局指导科技计划项目(GZ2019ZSF525)。
