妇科盆腔肿物使用CT与1.5T核磁共振结合诊断的实际效果.pdf
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1、中国科技期刊数据库 医药 19 妇科盆腔肿物使用 CT 与 1.5T 核磁共振结合诊断的实际效果 曹艳林 河北省衡水市安平县安平网都医院放射科,河北 衡水 053600 摘要:摘要:目的 探讨 CT 联合 1.5T 核磁共振对女性盆腔肿瘤的诊断价值。方法 选取我院自 2021 年 5 月至 2022 年10 月收治的 87 例盆腔肿瘤患者,患者入院行盆腔 CT 与 1.5T 核磁共振影像学检查,术中取肿瘤组织,后行病理切片检查,后将影响学检查结果与病理切片检查结果相对比,以肿瘤组织病理切片报告作为实际结果,以此来衡量妇科盆腔肿物使用 CT 联合 1.5T 核磁共振的诊断效果。结果 术中肿瘤组织
2、病理报告显示,85 例患者中有子宫肌瘤 41 例,卵巢囊肿 19 例,卵巢癌 15 例,宫颈癌 12 例。将 CT 联合 1.5T 磁共振报告结果与上述病理结果按子宫肌瘤、卵巢囊肿、卵巢癌、宫颈癌四类分别制成诊断结果对比表,分别计算出诊断准确度:94.12%,92.94%,96.47%,95.29%;灵敏度:95.12%,89.47%,93.33%,91.67%;特异度:93.18%,93.94%,97.14%,95.89%;再将 CT 联合 1.5T 磁共振诊断结果与病理结果做一致性检验,kappa 值分别为:0.913、0.886、0.904、0.899,表示对以上四类盆腔肿瘤的诊断,CT
3、 联合 1.5T 磁共振结果与病理结果的一致性均为极好。结论 CT 联合 1.5T 核磁共振对女性子宫肌瘤、卵巢囊肿、卵巢癌、宫颈癌的诊断具有很好的准确度、灵敏度、特异度,与病理结果相符性高,在妇科肿瘤诊断方面具有显著价值。关键词:关键词:1.5T 核磁共振;CT;病理;盆腔肿瘤;诊断 中图分类号:中图分类号:R713 The practical effect of combining CT and 1.5T nuclear magnetic resonance imaging in the diagnosis of gynecological pelvic masses CAO Yanlin
4、 Department of Radiology,Anping Wangdu Hospital,Anping County,Hengshui,Hebei 053600 Abstract:Objective:To explore the diagnostic value of CT combined with 1.5T magnetic resonance imaging in female pelvic tumors.Method:87 patients with pelvic tumors admitted to our hospital from May 2021 to October 2
5、022 were selected.Upon admission,the patients underwent pelvic CT and 1.5T nuclear magnetic resonance imaging examinations.Tumor tissue was taken during the surgery,followed by pathological section examination.The results of the impact examination were compared with those of pathological section exa
6、mination.The pathological section report of the tumor tissue was used as the gold standard to evaluate the value of CT combined with 1.5T nuclear magnetic resonance imaging in the diagnosis of female pelvic tumors.Result:The intraoperative tumor tissue pathology report showed that out of 85 patients
7、,there were 41 uterine fibroids,19 ovarian cysts,15 ovarian cancer,and 12 cervical cancer.Compare the results of CT combined with 1.5T magnetic resonance imaging with the above pathological results and create diagnostic tables for uterine fibroids,ovarian cysts,ovarian cancer,and cervical cancer,res
8、pectively.Calculate the diagnostic accuracy:94.12%,92.94%,96.47%,95.29%;Sensitivity:95.12%,89.47%,93.33%,91.67%;Specificity:93.18%,93.94%,97.14%,中国科技期刊数据库 医药 20 95.89%;Perform consistency checks on the diagnostic results of CT combined with 1.5T magnetic resonance imaging and pathological results.Th
9、e kappa values are 0.913,0.886,0.904,and 0.899,respectively,indicating the diagnosis of the four types of pelvic tumors mentioned above.The consistency between CT combined with 1.5T magnetic resonance imaging and pathological results is excellent.Conclusion:CT combined with 1.5T nuclear magnetic res
10、onance imaging has good accuracy,sensitivity,and specificity in the diagnosis of female uterine fibroids,ovarian cysts,ovarian cancer,and cervical cancer.It is highly consistent with pathological results and has significant value in the diagnosis of gynecological tumors.Keywords:1.5T nuclear magneti
11、c resonance;CT;Pathology;Pelvic tumors;diagnosis;0 前言 中老年女性盆腔肿物大多怀疑盆腔肿瘤,妇科盆腔肿瘤是一类常见的妇科疾病,主要为子宫、卵巢、宫颈等生殖器官和附件区部位的肿块,如若检查措施不能满足诊断需求,则会贻误诊断,致使肿物增大或者恶化,错过最佳治疗时机,则会对患者的身心健康产生巨大影响1。妇科盆腔肿物中常见有肿瘤性肿物、囊变形肿物、炎性肿物、生理性肿物等,临床诊断鉴别其确切性质往往需要病理学穿刺诊断,目前的影像学诊断中 CT 与 MRI 各存在其本身的局限性,例如 CT不适于空腔脏器、CT 定位诊断 1cm 以下的病灶能力不强、CT
12、对病理变化不大的病灶鉴别能力不强、CT 仅能单一横断面扫描等,MRI 存在对机体钙化灶不敏感、图像易受多种伪影干扰等局限性。妇科盆腔肿瘤的早期无特殊临床表现,目前临床早期诊断主要依赖以超声为主的影像学检查,但是超声检查存在一些弊端,比如由于盆腔内部组织结构性质的多样性和早期其形态学上的体积性小,增生肿物可能会出现与其相同性质组织表现出不同信号和与不同性质组织表现出相同信号,因此误差,故可导致盆腔组织发生早期增生后,无法明确诊断,或导致误诊。在相关研究中显,核磁共振技术与 CT 技术的联合应用,在诊断临床妇科疾病中取得了良好的效果,具体原因可能为利用 MRI 的多角度体层成像与氢质子成像的高软组
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