螺旋CT及磁共振对输卵管脓肿的诊断价值分析

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Abstract ObjectiveTo explore the diagnostic value of spiral CT and magnetic resonance imaging　(MRI)in the diagnosis of fallopian tube abscess.MethodsA total of 60 cases of suspected fallopian tube abscess in our hospital from January 2014 to November 2017 were selected as the subject.All the patientswere examined by spiral CT and MRI.The CT images and MRI images of the patientswere analyzed by two doctors tomake a diagnosis respectively.The diagnostic sensitivity,specificity and accuracy of spiral CT and MRI in the diagnosis of fallopian tube abscess were calculated and compared with the results of biopsy or pathological diagnosis.The consistency testwas used to analyze the diagnostic consistency between spiral CT and MRI for the diagnosis of tubal abscess and pathological diagnosis.ResultsAmong 60 suspected tubal abscesses,38 cases were diagnosed as tubal abscess by biopsy or surgical pathology.The remaining 22 patients were excluded as fallopian tube abscess.Reference to the results of pathological diagnosis,the diagnostic sensitivity,specificity and accuracy of spiral CT in the diagnosis of fallopian tube abscess were 92.11%,90.91%and 91.67%,respectively,which were respectively 97.37%,95.45%and 96.67%of MRI,and there was no significant difference the twomethods(P＞0.05).The consistency test showed that the diagnostic consistency between spiral CT,MRIand pathological diagnosis for the diagnosis of fallopian tubal abscesswere all good,the Kappa value was 0.716 and 0.703,respectively.ConclusionIn the diagnosis of fallopian tube abscess,spiral CT and MRIall have high diagnostic accuracy,and their diagnostic results are close to those of pathological diagnosis.Combined diagnosis of spiral CT and MRI can be used as a preoperative diagnosticmethod for fallopian tubal abscess.

Key words： Fallopian tubal abscess Diagnosis Spiral CT Magnetic resonance imaging Imaging Gynaecology

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	Articles by authors
	XU Xie-sheng
	WANG Kai-fu
	ZHANG Zhan-qing
	LAO Xiao-yi

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XU Xie-sheng,WANG Kai-fu,ZHANG Zhan-qing, et al. Analysis the diagnostic value of spiral CT and magnetic resonance in the diagnosis of fallopian tube abscess[J]. 中国当代医药, 2018, 25(16): 143-145转149.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I16/143

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