CT血管显示率在子宫肌瘤、卵巢肿瘤中的应用价值

目的 探讨CT血管显示率在子宫肌瘤、卵巢肿瘤中的应用价值。方法 选取2017年5月—2019年5月我院收治的子宫肌瘤患者42例，以及同期我院收治的卵巢肿瘤患者42例，对入组患者分别进行CT平扫以及CT增强扫描，分析两种疾病CT检查特点以及CT平扫与增强CT扫描在疾病诊断中的应用价值。结果 卵巢肿瘤患者中内膜样癌患者4例，颗粒细胞癌患者13例，囊腺癌患者14例，囊肿患者2例，纤维瘤患者4例，畸胎瘤患者5例；子宫肌瘤患者卵巢静脉以及卵巢动脉显示率均低于卵巢肿瘤患者（P < 0.05），子宫肌瘤患者子宫动脉显示率与卵巢肿瘤患者无明显差异（P > 0.05），但子宫肌瘤患者子宫动脉显示率稍高于卵巢肿瘤患者；CT增强扫描在子宫肌瘤以及卵巢肿瘤诊断中阳性率明显高于CT平扫（P < 0.05）。结论 在对卵巢肿瘤以及子宫肌瘤诊断时可将卵巢动脉以及卵巢静脉的血管显示率作为诊断参考指标，卵巢肿瘤卵巢动脉以及卵巢静脉的血管显示率更高，通过增强CT扫描可以明确观察患者相关血管现象情况，且在疾病诊断中具有更高的诊出率，可以在临床中进行进一步推广应用。

The application value of CT vascular display rate in uterine fibroids and ovarian tumors

Objective To explore the application value of CT vascular display rate in uterine fibroids and ovarian tumors.Methods a total of 42 patients with uterine fibroids admitted to our hospital from May 2017 to May 2019 and 42 patients with ovarian tumors admitted to our hospital during the same period were selected to receive plain CT scan and enhanced CT scan and respectively analyze the characteristics of the two diseases and the application value of plain CT and enhanced CT scan in the diagnosis of diseases.Results There were 4 cases of endometrial carcinoma, 13 cases of granulosa cell carcinoma, 14 cases of cystadenocarcinoma, 2 cases of cyst, 4 cases of fibroma and 5 cases of teratoma in ovarian tumors. The display rate of ovarian veins and arteries in patients with uterine fibroids was lower than that in patients with ovarian tumors (P < 0.05). There was no significant difference between the display rate of uterine arteries in patients with uterine fibroids and patients with ovarian tumors (P > 0.05), but the display rate of uterine arteries in patients with uterine fibroids was slightly higher than that in patients with ovarian tumors. The positive rate of contrast-enhanced CT scan in the diagnosis of uterine fibroids and ovarian tumors was significantly higher than that of plain CT scan (P < 0.05).Conclusion In the diagnosis of ovarian tumor and uterine fibroids the display rate of ovary and ovarian vein blood vessels can be a diagnostic reference indexes. In ovarian tumor of ovary and ovarian, vein blood vessels show higher display rate. Enhanced CT scan can clearly observed the related blood vessels phenomenon, which has higher diagnosis rate in disease diagnosis. It can be further popularization and application in clinical.