CT与超声在子宫肌瘤诊断价值对照研究及影像表现分析

A Comparative Study of CT and Ultrasound in the Diagnosis of Uterine Myoma and Imaging Findings

目的分析CT与超声在子宫肌瘤诊断价值对照研究及影像表现。方法选取2016年03月-2018年02月我院收治的经手术病理确诊的60例子宫肌瘤患者为研究对象,所有患者均行CT及B超检查,与手术病理进行对照,对两种检查方法进行统计分析并比较二者诊断价值。结果本组共60例患者均经术后病理诊断证实,CT检查相符例54例,确诊率为95.0%,误诊率为5.0%;超声检查相符45例,确诊率为88.33%,误诊率为11.67%,CT确诊率高于超声确诊率(P<0.05);其中浆膜下肌瘤例16例,粘膜下肌瘤12例,肌壁间肌瘤20例,多发性子宫肌瘤9例。结论CT对诊断子宫肌瘤的准确性和敏感性高于超声检查,不仅可清晰显示肿瘤位置、大小及与周围组织关系,还可显示肿瘤变形、钙化及坏死。

Objective To analyze the diagnostic value and imaging findings of CT and ultrasound in the diagnosis of uterine fibroids.Methods A total of 60 patients with uterine myoma diagnosed by surgical pathology in hospital from March 2016 to February 2018 were selected as subjects.All patients were examined with CT and B type-ultrasound,and the results were compared with surgical pathology.The diagnostic value of the two methods were analyzed statistically and compared.Results All the 60 patients in this study were confirmed by postoperative pathology.And 54 cases were consistent with CT examination,and the confirmed diagnosis rate and the misdiagnosis rate were 95.0%and 5.0%,respectively.There were 45 cases were consistent with ultrasound examination,and the confirmed diagnosis rate and the misdiagnosis rate were 88.33%and 11.67%,respectively.The confirmed diagnosis rate of CT was higher than that of ultrasound(P<0.05).There were 16 cases of subserous myoma,12 cases of submucosal myoma,20 cases of intermuscular myoma and 9 cases of multiple uterine myoma.Conclusion The accuracy and sensitivity of CT in the diagnosis of uterine myoma were higher than those of ultrasound.It can not only clearly show the location,size and relationship with surrounding tissues of tumors but also show deformation,calcification and necrosis of tumors.