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MRI和TVS在妇女盆腔肿块诊断中的应用价值比较

Application value of MRI and TVS in the diagnosis of pelvic masses in women
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摘要 目的比较核磁共振(MRI)和经阴道超声(TVS)在诊断妇女盆腔肿块中的应用价值。方法选取2021年1月至2023月1月河南科技大学第一附属医院收治的104例盆腔肿块患者为研究对象。全部患者给予MRI和TVS检查,以病理学诊断为金标准,统计病理学检查结果,对比MRI、TVS检查对盆腔肿块的诊断效能。结果病理学诊断104例患者中恶性肿瘤90例,良性肿瘤14例。MRI-DWI检查诊断符合率、敏感度、特异度均高于TVS检查,漏诊率、误诊率低于MRI单独检查(P<0.05)。良性肿瘤患者的ADC和rADC均高于恶性肿瘤患者(P<0.05)。结论MRI和TVS在诊断妇女盆腔肿块中的应用均有一定的诊断价值,而MRI-DWI检查诊断效能更高。 Objectivee To compare the application value of magnetic resonance imaging(MRI)and transvaginal ultrasound(TVS)in the diagnosis of pelvic masses in women.Methods A total of 104 patients with pelvic masses admitted to the First Affiliated Hospital of Henan University of Science and Technology from January 2021 to January 2023 were selected as the study subjects.All patients were examined with MRI and TVS.Pathological diagnosis was the gold standard.The results of pathological examination were counted and the diagnostic efficacy of MRI and TVS for pelvic masses was compared.Results Pathological diagnosis of 104 patients included 90 cases of malignant tumors and 14 cases of Benign tumor.The diagnostic accuracy,sensitivity,and specificity of MRI-DWI examination were higher than those of TVS examination,while the missed diagnosis rate and misdiagnosis rate were lower than those of MRI examination alone(P<0.05).ADC and rADC of patients with benign tumor were higher than those of patients with malignant tumor(P<0.05).Conclusions Both MRI and TVS can have some diagnostic value in the diagnosis of pelvic masses in women,and MRI-DWI examination has higher diagnostic efficacy.
作者 白娜娜 王轩轩 杜锐莉 Bai Nana;Wang Xuanxuan;Du Ruili(Department of Imaging Center,the First Affliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)
出处 《临床医学》 CAS 2023年第9期84-87,共4页 Clinical Medicine
关键词 核磁共振 经阴道超声 妇女 盆腔肿块 诊断效能 MRI Transvaginal ultrasound Women Pelvic masses Diagnostic efficacy
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