136例子宫肌瘤的CT诊断价值分析

目的探讨CT检查在子宫肌瘤临床诊断中的应用价值,提高临床诊断水平。方法选取我院自2008年3月～2010年4月收治的136例子宫肌瘤患者为研究对象,同期分别进行CT检查与MRI检查,比较两种检查方法的确诊率。结果 136例患者单发子宫肌瘤27例,多发子宫肌瘤109例;子宫体积增大者118例,占86.8%;子宫体积最大可达15cm×14cm×13cm,其中宫体发生钙化者24例,占17.6%,宫腔变形者11例,占8.1%,宫腔消失者8例,占5.9%;合并有盆腔炎者21例,占15.4%,合并有子宫内膜异位症者7例,占5.1%,合并有卵巢囊肿者3例,占2.2%。CT检查确诊126例,疑诊10例,漏诊0例,确诊率为92.6%,漏诊率为0.0%;MRI检查确诊131例,疑诊3例,漏诊2例,确诊率为96.3%,漏诊率为1.5%。两组比较无明显差异(P>0.01),无统计学意义。结论 CT检查是临床诊断子宫肌瘤的可靠方法,尤其对于多发子宫肌瘤、后壁子宫肌瘤等诊断具有重要意义。

Objective To evaluate CT examination in the clinical diagnosis of uterine fibroids value, improve the clinical diagnosis. Methods： In our hospital from March 2008 April 2010 136 cases of uterine fibroids were treated study patients, respectively over the same period CT examination and MRI, compared two methods of diagnosis. Results： 136 patients with single leiomyoma in 27 cases, 109 cases of multiple uterine fibroids uterine volume increased by 118 cases, 86.8% uterine volume up to 15cm X 14era X 13cm, which Palace calcification occurred in 24 cases, 17.6%, intrauterine deformation in 11 cases, accounting for 8.1%, intrauterine disappeared in 8 cases, 5.9%： associated with pelvic inflammatory disease in 21 cases, accounting for 15.4%, associated with endometriosis in 7 patients, 5.1%, associated with ovarian cysts in 3 cases, accounting for 2.2%. CT diagnosed 126 cases were suspected in l0 cases, missed 0 cases, diagnosis was 92.6% and missed diagnosis rate was 0.0% MRI diagnosed 131 cases of suspected in 3 cases, missed two cases, diagnosis was 96.3%, the rate of misdiagnosis 1.5%. No significant difference between the two groups （P〉 0. 01）, not statistically significant. Conclusion： CT examination is a reliable clinical diagnosis of uterine fibroids method, especially for multiple uterine fibroids, the diagnosis of posterior wall of uterine fibroids and other significance.