摘要
目的 探讨多层螺旋CT (MSCT)增强扫描联合磁共振成像(MRI)对妇科盆腔肿瘤周围组织术前评估的临床价值,为患者的临床诊疗提供指导。方法 选取2018年8月至2021年8月汕尾市人民医院诊治的50例妇科盆腔肿瘤患者为研究对象,所有患者均行MRI检查、MSCT增强扫描检查及MSCT增强扫描联合MRI检查。以术后病理诊断结果为金标准,对比不同检查方法对妇科盆腔肿瘤的诊断符合率及对恶性肿瘤临床分期的准确率。结果 术后病理诊断结果显示,50例妇科盆腔肿瘤患者中子宫肌瘤9例、卵巢良性瘤5例、子宫内膜癌3例、卵巢癌11例、宫颈癌22例,MSCT增强扫描联合MRI检查对妇科盆腔肿瘤的诊断符合率为96.00%,明显高于MRI检查和MSCT增强扫描检查(分别为76.00%、82.00%),差异均有统计学意义(P<0.05);术后病理诊断结果显示,36例妇科盆腔恶性肿瘤患者中Ⅰ期14例、Ⅱ期13例、Ⅲ期3例、Ⅳ期6例,MSCT增强扫描联合MRI检查对恶性肿瘤临床分期的准确率为97.22%,明显高于MRI检查和MSCT增强扫描检查(分别为77.78%、83.33%),差异均有统计学意义(P<0.05)。结论 MSCT增强扫描联合MRI对妇科盆腔肿瘤患者周围组织进行术前评估可以显著提高诊断符合率及对恶性肿瘤临床分期的准确率,对患者病情早期诊断、准确分期、及时采取针对性治疗措施有重要意义。
Objective To explore the clinical value of multi-slice spiral CT (MSCT) enhanced scanning combined with magnetic resonance imaging (MRI) in preoperative evaluation of pelvic tumor tissues,and to provide guidance for clinical diagnosis and treatment of patients.Methods A total of 50 patients with gynecological pelvic tumor treated in Shanwei People’s Hospital from August 2018 to August 2021 were selected as the research objects.All patients underwent MRI examination,MSCT enhanced scan,and MSCT enhanced scan combined with MRI examination.The results of postoperative pathological diagnosis were taken as the gold standard,and the diagnostic coincidence rate of pelvic tumor and the clinical staging accuracy of malignant tumor by different examination methods were compared.Results Postoperative pathological diagnosis showed that,among the 50 patients with gynecological pelvic tumor,there were 9 cases of uterine fibroids,5 cases of benign ovarian tumors,3 cases of endometrial cancer,11 cases of ovarian cancer,and 22 cases of cervical cancer.The diagnostic coincidence rate of MSCT enhanced scanning combined with MRI examination for gynecological pelvic tumor was 96.00%,which was significantly higher than 76.00% of MRI and 82.00% of MSCT enhanced scan (P<0.05).Postoperative pathological diagnosis results showed that,among the 36 patients with gynecological pelvic malignant tumor,there were 14 cases of stage Ⅰ,13 cases of stageⅡ,3 cases of stage Ⅲ,and 6 cases of stage Ⅳ;the accuracy of MSCT enhanced scanning combined with MRI in clinical staging of malignant tumors was 97.22%,which was significantly higher than 77.78% of MRI and 83.33% of MSCT enhanced scanning (P<0.05).Conclusion MSCT enhanced scanning combined with MRI for preoperative evaluation of the surrounding tissues of gynecological pelvic tumor patients can significantly improve the diagnostic coincidence rate and the accuracy of clinical staging of malignant tumor,which is of great significance for the early diagnosis,accurate staging,and timely adopti
作者
蔡泽银
曾伟君
黄泗芳
徐建怀
邱剑峰
杨旋彪
CAI Ze-yin;ZENG Wei-jun;HUANG Si-fang;XU Jian-huai;QIU Jian-feng;YANG Xuan-biao(Department of Imaging,Shanwei People's Hospital,Shanwei 516600,Guangdong,CHINA)
出处
《海南医学》
CAS
2022年第19期2537-2540,共4页
Hainan Medical Journal
基金
广东省汕尾市科技局项目(编号:210528096340495)。
关键词
妇科
盆腔肿瘤
多层螺旋CT
磁共振成像
术前评估
Gynecology
Pelvic tumors
Multi-slice spiral CT
Magnetic resonance imaging
Preoperative evaluation
