盆腔炎性包块与盆腔肿瘤鉴别诊断及临床治疗
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  • 英文篇名:Differential diagnosis and clinical treatment of pelvic inflammatory mass and pelvic tumors
  • 作者:张金敏 ; 王秀伟
  • 英文作者:ZHANG Jin-min;WANG Xiu-wei;Department of No.1 Obstetrics and Gynecology,Gaotang County People's Hospital;
  • 关键词:盆腔炎性包块 ; 盆腔肿瘤 ; 鉴别诊断 ; 临床治疗
  • 英文关键词:Pelvic inflammatory mass;;Pelvic tumors;;Differential diagnosis;;Clinical treatment
  • 中文刊名:ZCXW
  • 英文刊名:Chinese Journal of Urban and Rural Enterprise Hygiene
  • 机构:高唐县人民医院妇产一科;
  • 出版日期:2019-07-15
  • 出版单位:中国城乡企业卫生
  • 年:2019
  • 期:v.34;No.213
  • 语种:中文;
  • 页:ZCXW201907011
  • 页数:3
  • CN:07
  • ISSN:12-1170/R
  • 分类号:34-36
摘要
目的探讨盆腔炎性包块与盆腔肿瘤鉴别诊断及临床治疗方法。方法选取高唐县人民医院2017年2月-2018年6月期间收治的59例盆腔炎性包块患者和49例盆腔肿瘤患者为研究对象,分别作为观察组和对照组,观察两组CT影像检出率;观察组患者接受药物治疗、手术治疗,对照组患者接受手术治疗和化疗,比较两组治疗总有效率。结果 CT诊断对于盆腔炎性包块、盆腔肿瘤的检出率为94.92%、97.96%。观察组患者的治疗总有效率为91.53%,对照组患者的治疗总有效率为87.76%,差异无统计学意义(P>0.05)。结论在盆腔炎性包块与盆腔肿瘤的临床诊断中,综合患者的体征表现、妇科检查结果、CT影像特征,能够对两类疾病进行准确的区分和鉴别。盆腔炎性包块患者可以通过药物、手术方法进行治疗,盆腔肿瘤患者可以通过手术和化疗方法进行治疗,均可以获得良好的疗效。
        Objective To investigate differential diagnosis and clinical treatment of pelvic inflammatory mass and pelvic tumors.Methods 59 patients with pelvic inflammatory mass and 49 patients with pelvic tumors admitted to Gaotang County People's Hospital from February 2017 to June 2018 were selected as the study subjects.They were treated as observation group and control group respectively.The detection rate of CT images in two groups were observed.Patients in the observation group received medical treatment and surgical treatment,while patients in the control group received surgical treatment and chemotherapy.The total effective rate of the two groups was compared.Results The detection rate of pelvic inflammatory mass and pelvic tumors by CT was 94.92% and 91.96%.The total effective rate was 91.53% in the observation group and 87.76% in the control group, there was no significant difference between the two groups(P>0.05).Conclusion In the clinical diagnosis of pelvic inflammatory mass and pelvic tumor,the patients' physical signs,gynecological examination and CT imaging features can be accurately distinguished and differentiated.Pelvic inflammatory mass patients can b e treated by medicine and surgery, pelvic tumor patients can be treated by surgery and chemotherapy, and good results can be obtained.
引文
[1]何欣源,单飞,施裕新,等.盆腔侵袭性血管黏液瘤CT/M RI影像特征1例报告[J].中国临床医学,2018,25(4):686-687.
    [2]蒋明锦,黄佩贤,张丽.腹腔镜手术治疗盆腔炎性包块对免疫功能及术后恢复的影响J].临床医学工程,2018,25(8):999-1000.
    [3]刘晓欢.MRI技术在盆腔肿瘤诊断中的应用价值[J].医疗装备,2018,31(14):33-34.
    [4]张秀花.超声在诊断盆腔炎性肿块的准确率及误诊病例分析[J].影像研究与医学应用,2018,2(15):82-83.
    [5]马洪菊.盆腔炎性包块与盆腔肿瘤鉴别诊断及临床治疗[J].中国实用医药,2018,13(6):43-44.

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