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目的探讨128层螺旋CT血管重建在子宫肌瘤和卵巢肿瘤鉴别诊断中的临床价值。方法 2013年1月至2013年10月期间,巴中市中心医院手术病理证实的30例卵巢肿瘤患者和30例子宫肌瘤患者作为研究对象,通过128层螺旋CT扫描检查仪,进行CT平扫、CT增强扫描,对两组卵巢静脉显示率、卵巢动脉显示率、子宫动脉显示率,进行观察和比较。结果与子宫肌瘤组相比,卵巢肿瘤组卵巢静脉显示率、卵巢动脉显示率均明显提高,P<0.05,差异有统计学意义;而子宫动脉显示率,两组差异没有统计学意义,P>0.05。结论 128层螺旋CT扫描检查能够清晰显示肿瘤供血情况,有助于子宫肌瘤和卵巢肿瘤的鉴别诊断。
Objective To investigate the clinical value of 128-slice spiral CT in the differential diagnosis of uterine fibroids and ovarian tumors. Methods From January 2013 to October 2013, 30 patients with ovarian tumors and 30 patients with uterine fibroids confirmed by surgery and pathology in Central Hospital of Bazhong from January 2013 to October 2013 were examined by CT scan with a 128-slice spiral CT scanner , CT enhanced scan, the two groups of ovarian vein display rate, ovarian artery display rate, uterine artery display rate, were observed and compared. Results Compared with uterine myoma group, the ovarian tumor showed significantly higher rate of ovarian vein and ovarian artery, P <0.05, the difference was statistically significant; while the rate of uterine artery showed no significant difference between the two groups, P > 0.05. Conclusion 128-slice spiral CT scan can clearly show the tumor blood supply, contribute to the differential diagnosis of uterine fibroids and ovarian tumors.