多层螺旋CT血管成像对腹部巨大肿块定位、定性诊断的应用效果观察
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摘要
目的探索多层螺旋CT血管成像对腹部巨大肿块定位、定性诊断的应用效果。方法在2017年5月16日至2018年5月16日期间选取154例疑似腹部巨大肿块患者为此次研究对象,均进行多层螺旋CT血管成像诊断,并以病理检查结果为金标准,分析CT的定位、定性价值。结果多层螺旋CT血管成像对肾平滑肌脂肪瘤诊断正确率为95.00%,对生殖系统来源肿瘤诊断正确率为97.14%,对肠道来源肿瘤诊断正确率为97.87%,对肾癌诊断正确率为92.31%,对肝癌诊断正确率为96.00%。同时对腹部巨大肿块漏诊率为3.57%,误诊率为7.14%,敏感度为96.43%,特异度为92.86%。结论多层螺旋CT血管成像在腹部巨大肿块诊断中,可提高诊断正确率。
Objective To explore the application of multi-slice spiral CT angiography in the localization and qualitative diagnosis of large abdominal masses.Methods A total of 154 patients with suspected large abdominal masses were selected from May 16,2017 to May 16,2017.All patients underwent multi-slice spiral CT angiography,and the results of pathological examination were the gold standard.Analyze the positioning and qualitative value of CT.Results The diagnostic accuracy of multi-slice spiral CT angiography for renal smooth muscle lipoma was 95.00%,the correct rate of diagnosis for reproductive system-derived tumors was 97.14%,and the correct rate for diagnosis of intestinal-derived tumors was 97.87%.For 92.31%,the correct rate for diagnosis of liver cancer was 96.00%.At the same time,the rate of missed diagnosis of huge abdominal mass was 3.57%,the misdiagnosis rate was 7.14%,the sensitivity was 96.43%,and the specificity was 92.86%.Conclusion Multi-slice spiral CT angiography can improve the diagnostic accuracy in the diagnosis of large abdominal mass.
Objective To explore the application of multi-slice spiral CT angiography in the localization and qualitative diagnosis of large abdominal masses.Methods A total of 154 patients with suspected large abdominal masses were selected from May 16,2017 to May 16,2017.All patients underwent multi-slice spiral CT angiography,and the results of pathological examination were the gold standard.Analyze the positioning and qualitative value of CT.Results The diagnostic accuracy of multi-slice spiral CT angiography for renal smooth muscle lipoma was 95.00%,the correct rate of diagnosis for reproductive system-derived tumors was 97.14%,and the correct rate for diagnosis of intestinal-derived tumors was 97.87%.For 92.31%,the correct rate for diagnosis of liver cancer was 96.00%.At the same time,the rate of missed diagnosis of huge abdominal mass was 3.57%,the misdiagnosis rate was 7.14%,the sensitivity was 96.43%,and the specificity was 92.86%.Conclusion Multi-slice spiral CT angiography can improve the diagnostic accuracy in the diagnosis of large abdominal mass.
引文
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[3]钱海峰,王青乐,徐萍,等.子宫静脉内平滑肌瘤病的多层螺旋CT表现及术前评估价值[C].//2013浙江省放射学学术年会论文集.2013:255-255.
[4]戴少明,毕俊英,周义成等.腹部纱布性炎性肉芽肿CT表现特征(附6例分析)[J].中国临床医学影像杂志,2013,24(4):286-288.
[5]李健,谢凯,龚洪翰,等.腹部巨大脂肪肉瘤CT、MRI表现及病理对照分析[J].实用放射学杂志,2016,32(2):224-227.
[6]汤培荣.腹部侵袭性纤维瘤病的CT与MRI诊断[J].中医临床研究,2018,10(12):102-104.
[7]陈枫,赵大伟,文硕,等.肝内肿块型胆管癌的CT、MRI动态增强表现以及与病理分化程度的关系[J].中华放射学杂志,2015,49(11):843-847.
[8]母华国,桑玲,陈海波,等.64层螺旋CT三维重建在腹部寄生胎中的诊断应用[J].医学影像学杂志,2014,18(11):1974-1977.
[9]张鼎,易明岗.腹部外周性原始神经外胚层肿瘤的CT与MRI表现[J].医学影像学杂志,2016,26(4):742-744.
[10]刘艳玲,武淮昌,张东臣,等.腹部局灶型Castleman’s病的CT表现与病理学分析[J].医学影像学杂志,2015,19(8):1394-1396.
[11]骆佳,李德永.儿童腹部炎性肌纤维母细胞瘤22例CT表现及病理对照[J].中国医疗设备,2015,22(7):57-59.
[12]丁建.腹部弥漫大B细胞淋巴瘤的多层螺旋CT表现[J].实用临床医学,2014,15(1):99-100.
[13]彭晓容,马春浓,陈恩炎,等.腹部外周性原始神经外胚层肿瘤的CT及MR诊断[J].中国实用医药,2016,11(28):8-9.
[14]刘婷婷,张欢,范荣等.腹部囊实性占位性病变的CT诊断与鉴别诊断[J].影像研究与医学应用,2018,2(11):110-112.
[15]孔凡磊,郭一清.多层螺旋CT血管成像在腹部肿瘤临床诊断中的应用[J].中国ct和mri杂志,2014,15(9):59-60.