摘要
目的探讨磁共振成像(MRI)多模态成像技术及超声造影对不确定性盆腔肿块性质的诊断准确度。方法回顾性分析2021年3月—2022年12月本院收治的70例不确定性盆腔肿块患者的临床资料。所有患者均行MRI多模态成像扫描及超声造影检查,对比其诊断结果,并以术后病理检查结果为金标准,对两种检查方式的诊断准确度进行分析。结果临床诊断结果:良性肿块40例(57.14%),恶性肿块17例(24.29%),交界性肿块13例(18.57%);较之单用超声造影检查,单用MRI多模态成像对盆腔肿瘤性质的诊断准确度明显更高,差异具有统计学意义(P<0.05);两种检查方式结合病史及肿瘤标志物后对盆腔肿瘤诊断准确度均较结合病史及肿瘤标志物前高,差异具有统计学意义(P<0.05)。两种检查方式结合病史及肿瘤标志物对盆腔肿瘤性质诊断的准确度比较,差异无统计学意义(P>0.05)。结论在单用某种检查方式的情况下,MRI多模态成像技术对不确定性盆腔肿块的诊断准确度优于超声造影。但是,在结合病史及肿瘤标志物检查的情况下,两种检查方式对不确定性盆腔肿块的诊断准确度相当。
Objective To explore the diagnostic effect and accuracy of MRI multimodal imaging technology and contrast-enhanced ultrasound for uncertain pelvic mass properties.Methods The paper reviewed and analyzed clinical data of 70 patients with uncertain pelvic masses in our hospital from March 2021 to December 2022,treated with MRI multimodal imaging scanning and contrast-enhanced ultrasound examination.Diagnostic results were compared,accuracy of two examination methods was analyzed with gold standard of clinical diagnosis of postoperative pathological examination results.Results Clinical diagnosis showed there were 40 cases(57.14%)of benign masses,17 cases(24.29%)of malignant masses and 13 cases(18.57%)of borderline masses.MRI multimodal imaging only has significantly higher accuracy in diagnosing the nature of pelvic tumors than contrast-enhanced ultrasound,with significant difference(P<0.05).The diagnostic accuracy of pelvic tumors using both examination methods combined with medical history and tumor markers was higher than before,and the difference was statistically significant(P<0.05).There was no statistically significant difference(P>0.05)in the accuracy of diagnosing pelvic tumor properties between two examination methods combined with medical history and tumor markers.Conclusion In the case of some certain examination method only,MRI multimodal imaging technology can achieve better diagnostic accuracy for uncertain pelvic masses than contrast-enhanced ultrasound.However,combined with medical history and tumor marker examination,diagnostic accuracy of the two examination methods for uncertain pelvic masses is comparable.
作者
何艳萍
张亚红
HE Yanping;ZHANG Yahong(Imaging Department,Wuwei City Liangzhou Hospital,Wuwei,Gansu 733000;Ultrasound Department,Wuwei Cancer Hospital,Wuwei,Gansu 733000)
出处
《智慧健康》
2025年第10期15-18,共4页
Smart Healthcare
关键词
MRI多模态成像
超声造影
不确定性盆腔肿块
诊断准确度
MRI multimodal imaging
Contrast-enhanced ultrasound
Uncertain pelvic mass
Diagnostic accuracy
作者简介
何艳萍(1985-),女,汉族,甘肃武威人,本科,副主任医师,研究方向:神经系统、腹盆部、四肢关节MRI成像。
