多层螺旋CT联合MR在卵巢肿瘤临床鉴别诊断中的应用分析

详细信息    查看全文 | 推荐本文 |

英文篇名：Application Analysis of Multi-Slice Spiral CT Combined with MR in the Differential Diagnosis of Ovarian Tumor 作者：张梅舜 ; 曾桂华 ; 张竞成 英文作者：ZHANG Meishun;ZENG Guihua;ZHANG Jingcheng;Department of Radiology, the People's Hospital of Boluo County; 关键词：卵巢肿瘤 ; 多层螺旋CT ; MR ; 鉴别诊断 英文关键词：Ovarian tumor;;Multi-slice spiral CT;;MR;;Differential diagnosis 中文刊名：YBQJ 英文刊名：Clinical Medicine & Engineering 机构：惠州市博罗县人民医院放射科; 出版日期：2019-04-15 出版单位：临床医学工程 年：2019 期：v.26;No.242 语种：中文; 页：YBQJ201904007 页数：2 CN：04 ISSN：44-1655/R 分类号：19-20

摘要

目的探讨多层螺旋CT联合MR在卵巢肿瘤鉴别诊断中的应用价值。方法选择2012年1月至2017年4月我院收治的50例卵巢肿瘤患者,均接受MR和多层螺旋CT检查。以病理诊断为金标准,比较MR和CT检查的分期、定性、转移/侵袭符合率,以及敏感度、特异度和准确率。结果 MR定性诊断的符合率为98.00%,显著高于CT的86.00%(P <0.05)。MR对卵巢肿瘤分期的诊断符合率显著高于CT (P <0.05)。MR对肿瘤转移/侵袭的诊断符合率为90.70%,显著高于CT的74.42%(P <0.05)。MR对卵巢肿瘤诊断的准确率显著高于CT (P <0.05), MR和CT的诊断敏感度和特异度无统计学差异(P>0.05)。结论与CT相比, MR对卵巢肿瘤的定性、分期、定位等诊断效果更好,诊断符合率更高。
        Objective To explore the application value of multi-slice spiral CT combine with MR in the differential diagnosis of ovarian tumor. Methods 50 cases of patients with ovarian tumor in our hospital from January 2012 to April 2017 were selected. All cases received MR examination and multi-slice spiral CT examination. With pathological diagnosis as gold standard, the coincidence rates of staging, characterization, and transfer/invasion, and the sensitivity, specificity and accuracy of CT and MR were compared. Results The coincidence rate of qualitative diagnosis of MR was 98.00%, higher than 86.00% of CT(P <0.05). The diagnostic compliance rate for ovarian tumor staging of MR was significantly higher than that of CT(P <0.05). The diagnostic compliance rate for tumor transfer/invasion of MR was 90.70%, higher than 74.42% of CT(P <0.05). The diagnostic accuracy of MR was higher than that of CT(P <0.05), while no statistical difference was found between MR and CT in the diagnostic sensitivity and specificity(P >0.05). Conclusions Compared with CT,MR has better diagnostic effects in qualitative diagnosis, staging and location of ovarian tumor, and higher diagnostic compliance rate.

引文

[1]杨锐,刘安陆,赵年,等. 3.0T MR在卵巢肿瘤诊断中的临床应用价值[J].中国CT和MRI杂志, 2016, 14(9):98-100.
    [2]王志涛,邹煜,李奎.卵巢硬化性间质瘤的CT、 MR表现及其病理基础[J].浙江医学, 2016, 38(14):1170-1173.
    [3]刘冬.磁共振波谱成像在卵巢肿瘤中的研究进展[J].国际医学放射学杂志, 2016, 39(2):167-170.
    [4]郭利清,杨舟.超声造影、 CT、 MRI在卵巢肿瘤临床应用比较[J].中国CT和MRI杂志, 2016, 14(10):92-95.
    [5]卞方云,季亚平,凌利.卵巢纤维瘤的CT表现及鉴别诊断[J].中国中西医结合影像学杂志, 2017, 15(3):328-330.
    [6]钱跃龙.双排螺旋CT对卵巢良恶性肿瘤的诊断[J].中国实验诊断学, 2017, 21(6):1055-1057.
    [7]周维平,林平,林速建.磁共振动态增强成像对卵巢肿瘤血管生成及侵袭的诊断价值[J].中华内分泌外科杂志, 2015, 9(2):160-163.
    [8]方如旗,曹代荣,翁淑萍,等.磁共振动态增强及扩散加权成像对复杂性卵巢肿瘤定性诊断的价值[J].临床放射学杂志, 2014, 33(11):1705-1709.
    [9]李磊,赵永民,高新萍.超声、 CT、 MRI和血清CA125对卵巢癌诊断的对比分析[J].河北医科大学学报, 2017, 38(3):349-352.