【摘要】 回顾性分析2018年10月～2019年10月我院收治的70例均行CT和MRI检查并经过病理学检查确诊的盆腔肿瘤患者的临床资料,探讨1.5T MRI弥散加权成像、CT检查,以及联合使用时对女性盆腔肿瘤良恶性的诊断价值。70例患者共查出80个病灶,其中包括12个宫颈癌、37个子宫肌瘤、11个卵巢癌、20个卵巢囊肿;23个为恶性肿瘤,57个为良性肿瘤。MRI准确诊断出71个,诊断准确率为88.75%,恶性肿瘤诊断准确率为86.96%;CT准确诊断出68个,诊断准确率为85.00%,恶性肿瘤诊断准确率为86.96%;二者联合监测准确诊断出78个,诊断准确率为97.50%,恶性肿瘤诊断准确率为100%。CT和MRI诊断妇女盆腔良恶性肿瘤准确率比较差异无统计学意义(P>0.05),与联合检测准确率比较准确率明显降低(P<0.05)。1.5T MRI弥散加权成像和CT检查联合应用可进一步提高盆腔良恶性肿瘤诊断的准确率,降低发生漏诊和误诊的概率。更多还原

【Abstract】 The clinical data of 70 patients with pelvic tumors who were diagnosed by CT and MRI from October 2018 to October 2019 were analyzed retrospectively. To investigate the diagnostic value of 1.5 T MRI diffusion weighted imaging, CT and its combined use in the diagnosis of benign and malignant female pelvic tumors. There were 80 lesions in 70 patients, including 12 cases of cervical cancer, 37 cases of hysteromyoma, 11 cases of ovarian cancer, 20 cases of ovarian cysts, 23 cases of malignant tumors and 57 cases of benign tumors. 71 lesions were diagnosed accurately by MRI, the accuracy rate of diagnosis was 88.75%, the accuracy rate of diagnosis of malignant tumor was 86.96%. 68 lesions were diagnosed accurately by CT, the accuracy rate of diagnosis was 85.00%, the accuracy rate of diagnosis of malignant tumor was 86.96%. 78 cases were accurately diagnosed by combined monitoring, the accuracy rate of diagnosis was 97.50%, the accuracy rate of diagnosis of malignant tumor was 100%. There was no significant difference between CT and MRI in the accuracy rate of diagnosis of benign and malignant tumors in women’s pelvis(P>0.05).The accuracy of each MRI or CT rate was significantly lower than that of combined detection(P<0.05).1.5 T-MRI combined with CT can further improve the accuracy of diagnosis of pelvic benign and malignant tumors,greatly educe the probability of missed diagnosis and misdiagnosis.更多还原