CT、MRI诊断腹膜后原发性肿瘤的临床价值

Clinical value of CT and MRI in the diagnosis of primary retroperitoneal tumor

目的探讨计算机断层扫描(CT)、磁共振成像(MRI)诊断腹膜后原发性肿瘤的临床价值。方法回顾性分析2017年10月至2019年10月我院收治的85例腹膜后原发性肿瘤患者的临床资料。所有患者均接受CT、MRI检查,以穿刺活检病理诊断结果为金标准,比较CT和MRI对腹膜后原发性肿瘤的定性诊断效能,并分析CT、MRI与穿刺活检病理诊断结果的一致性。结果两种检查方法对腹膜后原发性恶性肿瘤诊断的灵敏度、特异度及准确度比较,差异无统计学意义(P>0.05)。在腹膜后原发性肿瘤定性诊断中,CT、MRI与穿刺活检病理诊断结果均具有高度一致性(Kappa=0.739、0.824)。结论CT、MRI对腹膜后原发性肿瘤均具有较高的定性诊断价值。

Objective To investigate the clinical value of computed tomography(CT)and magnetic resonance imaging(MRI)in the diagnosis of primary retroperitoneal tumor.Methods The clinical data of 85 patients with primary retroperitoneal tumors admitted in our hospital from October 2017 to October 2019 were retrospectively analyzed.All patients were examined by CT and MRI.The pathological diagnosis results of puncture biopsy were taken as the gold standard.The qualitative diagnosis effectiveness of CT and MRI for primary retroperitoneal tumor were compared,and the consistency of CT,MRI and pathological diagnosis results of puncture biopsy were analyzed.Results There were no significant differences in sensitivity,specificity and accuracy between the two methods in the diagnosis of primary retroperitoneal tumor(P>0.05).In the qualitative diagnosis of primary retroperitoneal tumor,CT,MRI and pathological diagnosis results of puncture biopsy were highly consistent(Kappa=0.739,0.824).Conclusion CT and MRI have high qualitative diagnostic value for primary retroperitoneal tumor.