CT与B超在诊断盆腔内妇科肿瘤中的检出率比较

Comparison on the Detection Rate Between CT and B-Ultrasound in the Diagnosis of Gynecological Pelvic Tumors

目的比较B超和CT在盆腔肿瘤疾病的临床诊断价值。方法选择我院2012年2月至2013年2月收治的疑是盆腔肿瘤患者168例作为研究对象,通过分析其病理诊断结果、B超诊断结果和CT诊断结果,比较CT和B超在诊断盆腔内妇科肿瘤中的检出率,探讨B超和CT在盆腔肿瘤诊断中的应用价值。结果病理诊断共有133例患者确诊为盆腔肿瘤,其中:卵巢癌、卵巢良性肿瘤、子宫肉瘤、宫颈癌、子宫内膜癌、子宫肌瘤患者分别为6例、15例、11例、33例、16例、52例。B超和CT分别确诊120和124例,检出率为90.2%和93.2%。虽然B超和CT在检出率数值上有一定差异,但差异不具有统计学意义,P>0.05。结论 B超和CT在盆腔肿瘤疾病诊断方面具有较高的检出率。作为两种常用的妇科诊断方式,B超和CT各有优劣,在具体的运用中,需要根据患者实际情况,加以选择,从而更好地服务患者。

Objective To compare the clinical diagnostic value of B ultrasound and CT in pelvic tumor. Methods 168 cases of suspected pelvic tumor in our hospital from February 2012 to February 2013 were selected as the research object. The pathological diagnosis, B-ultrasound results and the CT results were analyzed to explore the application value of B-ultrasound and CT in the diagnosis of pelvic tumor. Results 133 patients were diagnosed with the pelvic tumor through the pathology, including 6 cases of ovarian cancer, 15 cases of benign ovarian tumor, 11 cases of uterine sarcoma, 33 cases of cervical cancer, 16 cases of endometrial cancer, and 52 cases of uterine fibroids. The cases diagnosed by B-ultrasound and CT were 120 and 124 respectively, with the detection rate of 90.2% and 93.2% respectively; but the difference of detection rate between B-ultrasound and CT was not statistically significant （P 〉0.05）. Conclusions Both B-ultrasound and CT have high detection rate in the diagnosis of pelvic tumors. As two kinds of common gynecological diagnosis, B-ultrasound and CT have their pros and cons. In the specific application, it should be chosen according to the actual situation.