多层螺旋CT与MRI诊断巨大子宫肌瘤价值

Value of multi-slice spiral CT and MRI to the diagnosis of giant uterine fibroids

目的探讨多层螺旋CT(multi-slice spiral CT,MSCT)与MRI在巨大子宫肌瘤诊断中的应用价值。方法巨大子宫肌瘤患者43例,均于术前行MSCT及MRI检查,与手术组织病理结果进行对照,比较2种方法诊断巨大子宫肌瘤的符合率。结果手术组织病理诊断肌壁间肌瘤21例,黏膜下肌瘤9例,浆膜下肌瘤13例;MCST诊断肌壁间肌瘤20例,黏膜下肌瘤8例,浆膜下肌瘤13例,诊断符合率为95.35%;MRI诊断肌壁间肌瘤21例,黏膜下肌瘤9例,浆膜下肌瘤12例,诊断符合率为97.67%;2种方法诊断巨大子宫肌瘤的符合率比较差异无统计学意义(P>0.05)。结论MSCT与MRI在巨大子宫肌瘤诊断中均具有重要价值。

Objective To study the clinical value of multi-slice spiral CT （MSCT） and MRI to the diagnosis of giant uterine fibroids. Methods Forty-three patients with giant uterine fibroids underwent MSCT and MRI examination, and the results were compared with the histopathologic results. The diagnostic coincidence rates of MSCT and MRI for giant uterine fibroids were compared. Results The histopathological results confirmed muscle intramural myoma in 21 patients, submucous myoma in 9 and subserosal fibroids in 13. MCST showed muscle intramural myoma in 20 patients, submucous myoma in 8 and subserosal fibroids in 13, with the diagnostic coincidence rate of 95. 35%. MRI showed muscle intramural myoma in 21 patients, submucous myoma in 9 and subserosal fibroids in 12, with the diagnostic coincidence rate of 97. 67%. There was no significant difference in the diagnostic coincidence rate between MSCT and MRI （P〉0.05）. Conclusion Both MSCT and MRI have important values to the diagnosis of giant uterine leiomyoma.