CT、MRI诊断盆腔子宫内膜异位症的结果分析

梁铁茹1，孟庆斌2

（1.韩城市妇幼保健院，陕西 渭南，715400；2. 陕西省荣誉军人康复医院，陕西 渭南，715400）

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摘要：

目的 分析盆腔子宫内膜异位症患者分别应用MRI 与CT 进行诊断的结果。方法 从2011年2月至2016年7月我院接治的盆腔子宫内膜异位症患者中随机抽取108例，随机分为对照组与研究组，每组54例，对照组行常规CT诊断，研究组行 MRI诊断，分析两组患者应用MRI与CT检查的诊断情况，包括诊断符合率以及误诊率。结果 研究组的诊断符合率为 94.44%，明显高于对照组的59.26%，两组比较，差异具有统计学意义（P<0.05）。对照组的误诊率为40.74%，明显高于研究组 的5.56%，两组比较，差异具有统计学意义（P<0.05），对照组22例患者被误诊为功能性囊肿或囊腺瘤，研究组中3例被误诊为双侧附件炎症。结论 临床上针对盆腔子宫内膜异位症患者的诊断应用MRI与CT技术均可以起到一定的效果，但相较于CT，MRI诊断的符合率更高，误诊率更低。

关键词：盆腔子宫内膜异位症；CT；MRI；诊断

中图分类号：R445.2文献标志码：A文章编号：2096-1413(2017)27-0142-02

Diagnosis results analysis of pelvic endometriosis by CT and MRI
LIANG Tie-ru 1, MENG Qing-bin 2
(1. The Maternal and Child Care Service Centre of Hancheng, Weinan 715400; 2. Rehabilitation Hospitals for Glory Soldiers of Shaanxi

Province, Weinan 715400, China)

ABSTRACT: Objective To explore the diagnosis results of pelvic endometriosis by CT and MRI. Methods A total of 108 cases of patients with pelvic endometriosis from February 2011 to July 2016 in our hospital were randomly selected, and were randomly divided into control group and study group, with 54 cases in each group, the control group received routine CT examination, and the study group underwent MRI examination, the diagnosis results of the two groups were analyzed, including the diagnostic coincidence rate and misdiagnosis rate. Results The diagnostic coincidence rate of the study group was 94.44%, which was significantly higher than 59.26% of the control group, and the difference between the two groups was statistically significant (P<0.05); the misdiagnosis rate of the control group was 40.74%, which was significantly higher than 5.56% of the study group, and the difference between the two groups was statistically significant (P<0.05), 22 patients of the control group were misdiagnosed as functional cysts or cystic adenoma, and 3 cases of the study group were misdiagnosed as bilateral adnexal inflammation. Conclusion In clinical diagnosis of pelvic endometriosis, both MRI and CT can play certain roles, but compared with CT, the diagnostic accuracy of MRI is higher, and the misdiagrrosis rate is lower.
KEYWORDS: pelvic endometriosis; CT; MRI; diagnosis

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