摘要
目的探讨CT和磁共振(MR)在女性盆腔肿瘤患者中的诊断价值。方法 78例盆腔恶性肿瘤患者,所有患者分别采用CT与MR进行诊断,对比两种方法的诊断结果。结果 CT对恶性肿瘤的诊断准确率为92.3%(72/78), MR对恶性肿瘤的诊断准确率为96.2%(75/78),比较差异无统计学意义(P>0.05)。MR检查子宫内膜显示:子宫内膜出现一定程度不规则增厚,子宫侧壁也出现一定程度的增厚。CT检查子宫内膜显示:子宫内膜体积明显增加,部分患者的子宫内膜出现积液和(或)盆腔周围有一定的钙化转移现象,甚至出现淋巴肿大或转移现象。CT对卵巢原发恶性肿瘤的诊断显示:大部分患者的大网膜呈现出扁平状态,甚至大网膜边缘部分也出现了一定程度的模糊,并且分布也并不是很均匀。结论 MR诊断对肿瘤定位、定性价值较高, CT诊断恶性肿瘤钙化转移方面具有着极大的优势,所以临床诊断中应该根据患者的实际情况选择合适的检查方法。
Objective To discuss the value of CT and magnetic resonance(MR) in the diagnosis of female patients with pelvic malignant tumors. Methods A total of 78 patients with pelvic malignant tumors were diagnosed by CT and MR respectively, and the diagnostic results of the two methods were compared. Results The diagnostic accuracy of CT for malignant tumors was 92.3%(72/78), and that of MR for malignant tumors was 96.2%(75/78). The difference was not statistically significant(P>0.05). MR examination of endometrium showed that the endometrium showed irregular thickening to a certain extent, and the lateral wall of the uterus also showed a certain degree of thickening. CT examination of the endometrium showed that the endometrial volume increased significantly, some patients with endometrial effusion and(or) some calcification metastasis around the pelvic cavity, and even lymphadenopathy or metastasis. The diagnosis of primary ovarian malignant tumor by CT showed that the omentum of most patients showed a flat state, and even the edge of the omentum appeared to be blurred to some extent, and the distribution was not very uniform. Conclusion MR diagnosis has a high value in the localization and qualitative diagnosis of tumors. CT has a great advantage in the diagnosis of calcification and metastasis of malignant tumors. Therefore, appropriate examination methods should be selected according to the actual situation of patients in clinical diagnosis.
作者
王艺
徐红
乔黎阳
WANG Yi;XU Hong;QIAO Li-yang(Department of Radiology,Dalian Friendship Hospital,Dalian 116001,China)
出处
《中国实用医药》
2019年第4期29-30,共2页
China Practical Medicine
关键词
CT诊断
磁共振诊断
盆腔恶性肿瘤
CT diagnosis
Magnetic resonance diagnosis
Pelvic malignant tumors
