经阴道超声、CT检查对女性良、恶性盆腔病变的诊断价值对比分析
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摘要
目的旨在分析经阴道超声、CT检查对女性良、恶性盆腔病变的诊断价值。方法收集2015年7月至2018年8月我院收治的114例女性盆腔病变患者的临床资料及相关影像学资料,以病理学活检或手术检查结果作为诊断标准,计算经阴道超声、CT检查对女性盆腔良、恶盆腔病变的诊断灵敏度及特异度、检出率。结果经阴道超声对良性盆腔肿瘤检出率、灵敏度、特异度分别为94.44%、85.56%、86.67%,CT对良性盆腔肿瘤检出率、灵敏度、特异度分别为100%、92.22%、93.99%,CT对良性盆腔肿瘤检出率明显高于经阴道超声,差异比较具有统计学意义(P<0.05);经阴道超声对恶性盆腔肿瘤检出率、灵敏度、特异度分别为95.65%、86.96%、76.08%,CT对恶性盆腔肿瘤检出率、灵敏度、特异度分别为100、95.65%、93.48%,CT对恶性盆腔肿瘤诊断特异度明显高于经阴道超声,差异比较具有统计学意义(P<0.05)。结论 CT良性盆腔肿瘤检出率、恶性盆腔肿瘤诊断特异度优于经阴道超声检查。
Objective To analyze the diagnostic value of transvaginal ultrasound and CT in female benign and malignant pelvic diseases. Methods The clinical and imaging data of 114 female patients with pelvic diseases admitted to our hospital from July 2015 to August 2018 were collected. The diagnostic sensitivity, specificity and detection rate of transvaginal ultrasound and CT in female pelvic benign and malignant pelvic diseases were calculated based on the results of pathological biopsy or surgical examination. Results The detection rate, sensitivity and specificity of transvaginal ultrasound for benign pelvic tumors were94.44%, 85.56% and 86.67%, respectively. The detection rate, sensitivity and specificity of CT for benign pelvic tumors were 100%, 92.22% and 93.99%, respectively. The detection rate of CT for benign pelvic tumors was significantly higher than that of transvaginal ultrasound, and the difference was statistically significant(P<0.05). The detection rate,sensitivity and specificity of transvaginal ultrasound for malignant pelvic tumors were95.65%, 86.96% and 76.08%, respectively. The detection rate, sensitivity and specificity of CT for malignant pelvic tumors were 100%, 95.65% and 93.48%, respectively. The diagnostic specificity of CT for malignant pelvic tumors was significantly higher than that of transvaginal ultrasound(P<0.05). Conclusion The detection rate of CT for benign pelvic tumors and the diagnostic specificity of malignant pelvic tumors are better than that of transvaginal ultrasound.
Objective To analyze the diagnostic value of transvaginal ultrasound and CT in female benign and malignant pelvic diseases. Methods The clinical and imaging data of 114 female patients with pelvic diseases admitted to our hospital from July 2015 to August 2018 were collected. The diagnostic sensitivity, specificity and detection rate of transvaginal ultrasound and CT in female pelvic benign and malignant pelvic diseases were calculated based on the results of pathological biopsy or surgical examination. Results The detection rate, sensitivity and specificity of transvaginal ultrasound for benign pelvic tumors were94.44%, 85.56% and 86.67%, respectively. The detection rate, sensitivity and specificity of CT for benign pelvic tumors were 100%, 92.22% and 93.99%, respectively. The detection rate of CT for benign pelvic tumors was significantly higher than that of transvaginal ultrasound, and the difference was statistically significant(P<0.05). The detection rate,sensitivity and specificity of transvaginal ultrasound for malignant pelvic tumors were95.65%, 86.96% and 76.08%, respectively. The detection rate, sensitivity and specificity of CT for malignant pelvic tumors were 100%, 95.65% and 93.48%, respectively. The diagnostic specificity of CT for malignant pelvic tumors was significantly higher than that of transvaginal ultrasound(P<0.05). Conclusion The detection rate of CT for benign pelvic tumors and the diagnostic specificity of malignant pelvic tumors are better than that of transvaginal ultrasound.
引文
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[10]Munoz N,Bosch F X,De S S,et al.Epidemiologic Classification of Human Papillomavirus Types As sociated with Cervical Cancer[J].N Engl J Med,2003,348(6):518-527.
[2]刘秀梅,何巍,王秀艳.HE4、CA125联合ROMA指数及阴超检查对盆腔肿块的诊断价值[J].河北医药,2018,46(14):78-80.
[3]张丽,陈建华.经阴道彩色多普勒超声联合血浆肿瘤标志物检测在子宫内膜癌诊断中的应用[J].中国妇幼健康研究,2017,12(12):164-165.
[4]Network T C G A.Integrated genomic and molecular characterization of cervical cancer[J]. Nature,2 017,543(7645):378-384.
[5]韦红霞,李斌义,束晓霞.超声引导下经阴道和经腹壁穿刺治疗盆腔良性囊性肿物的临床疗效[J].江苏医药,2016,42(20):2264-2265.
[6]郑薇薇,杨静,张秀芳,等.经阴道超声在宫颈癌髂内淋巴转移诊断中的价值[J].中国医药导报,201 7,14(31):164-165.
[7]吴淑霞,宋文成,李涛,等.经阴道超声用于术前诊断原发性卵巢癌盆底腹膜转移的可行性分析[J].实用癌症杂志,2017,32(2):330-331.
[8]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.
[9]戴如星,明芳.血清CA125、经阴道B超检查及CT检查在子宫内膜癌术前评估方面的价值[J].重庆医学,2016,45(24):3421-3424.
[10]Munoz N,Bosch F X,De S S,et al.Epidemiologic Classification of Human Papillomavirus Types As sociated with Cervical Cancer[J].N Engl J Med,2003,348(6):518-527.