64排螺旋CT诊断子宫肌瘤与卵巢肿瘤的临床价值分析

Clinical value analysis of 64-slice spiral cT in diagnosis of uterine fibroids and ovarian tumors

目的探讨64排螺旋CT诊断子宫肌瘤与卵巢肿瘤的临床效果。方法选择50例子宫肌瘤与卵巢肿瘤患者为研究对象,按照疾病类型分为子宫肌瘤组和卵巢肿瘤组,每组25例。两组患者进行64排螺旋CT诊断,分析诊断结果。结果经病理学检查,子宫肌瘤组的子宫肌瘤直径为5.3~18.5cm,平均(12.2±1.7)cm;卵巢肿瘤组的卵巢肿瘤直径为5.0~18.3cm,平均(12.2±1.8)cm;其中,颗粒细胞癌6例、内膜样癌2例、囊腺癌11例、畸胎瘤3例、囊肿2例、纤维瘤2例;子宫肌瘤组卵巢动脉显示率、卵巢静脉显示率均低于卵巢肿瘤组(P<0.05);两组子宫动脉显示率比较,差异无统计学意义(P>0.05)。结论64排螺旋CT在子宫肌瘤与卵巢肿瘤的临床诊断效果显著,能提升临床诊断的准确性,值得临床推广与应用。

Objective To investigate the clinical effect of 64-slice spiral CT in the diagnosis of uterine fibroids and ovarian tumors.Methods A total of 50 patients with uterine fibroids and ovarian tumors were selected as the study objects,and were divided into uterine fibroids group and ovarian tumor group according to disease types,with 25 cases in each group.Two groups of patients were diagnosed with 64-slice spiral CT,and the diagnosis results were analyzed.Results Pathological examination showed that the diameter of uterine fibroids in the group ranged from 5.3 to 18.5 cm,with an average of(12.2±1.7)cm.In the ovarian tumor group,the diameter of ovarian tumor ranged from 5.0 to 18.3 cm,with an average of(12.2±1.8)cm.Among them,there were 6 cases of granular cell carcinoma,2 cases of endometrioid carcinoma,1l cases of cystadenocarcinoma,3 cases of teratoma,2 cases of cyst and 2 cases of fibroma.The ovarian artery display rate and ovarian vein display rate in uterine fibroids group were lower than those in ovarian tumor group(P<0.05).There was no significant difference in uterine artery between the two groups(P>0.05).Conclusion 64-slice spiral CT is effective in the clinical diagnosis of uterine fibroids and ovarian tumors,which can improve the accuracy of clinical diagnosis and is worthy of clinical promotion and application.