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目的探讨多层螺旋CT在妇科盆腔肿瘤诊断中的应用价值。方法选取了2010年3月~2013年3月本院经临床检查和手术病理确诊的女性盆腔肿瘤患者共102例,其中采用多层螺旋CT检查的56例为观察组,采用B超检查的46例为对照组,对比分析两种检查方法临床诊断效果。结果对比两组患者检查及术后病理诊断结果 ,观察组检查诊断符合率为92.9%(52/56),B超检查组的91.3%(42/46)。根据病理类型进行分类,其中子宫肌瘤34例,子宫颈癌16例,子宫内膜癌8例,卵巢良性肿瘤14例,子宫腺肌瘤20例、卵巢的恶性肿瘤8例。而两种检测方法对子宫肌瘤和卵巢良性肿瘤的检出率较高。结论多层螺旋CT在临床妇科盆腔肿瘤检查中具有较高的检出率,医师可根据检测结果正确的进行鉴别和诊断,具有较高的应用价值,值得在临床上进行推广和应用。
Objective To investigate the value of multi-slice spiral CT in diagnosis of pelvic tumors in gynecology. Methods A total of 102 cases of female pelvic tumors confirmed by clinical examination and surgical pathology from March 2010 to March 2013 in our hospital were selected. Among them, 56 cases were examined by multi-slice spiral CT, and were examined by B-mode ultrasonography Cases for the control group, comparative analysis of two methods of examination of clinical diagnosis. Results Comparing the two groups of patients with postoperative pathological diagnosis, the coincidence rate was 92.9% (52/56) in the observation group and 91.3% (42/46) in the B-ultrasound group. According to the type of pathological classification, including 34 cases of uterine fibroids, 16 cases of cervical cancer, 8 cases of endometrial cancer, ovarian benign tumors in 14 cases, adenomyosis in 20 cases, 8 cases of ovarian cancer. The two detection methods for the detection of uterine fibroids and benign ovarian tumors higher. Conclusions Multi-slice spiral CT has high detection rate in clinical gynecologic pelvic tumor examination. Physicians can correctly identify and diagnose according to the detection results, which has high application value. It is worth to be popularized and applied clinically.