目的 比较超声与CT在女性盆腔 囊性肿块病变诊断中的应用价值。方法 回顾性分析自2012年3月-2015年3月于我 院接受治疗且经手术及病理确诊为盆腔肿 块的78例患者的临床资料，所有患者超声 及CT诊断资料完整，比较超声及CT在盆 腔囊性肿块病变鉴别中的应用价值。结 果 本组78例盆腔肿块患者，超声检出盆 腔包虫、囊实性卵巢囊肿、子宫肌瘤囊性 病变及卵巢囊腺癌准确率分别为60.0%、 60.0%、50.0%、60.0%，定位准确率分别 为40.0%、52.0%、50.0%、60.0%。CT检 出盆腔包虫、囊实性卵巢囊肿、子宫肌 瘤囊性病变及卵巢囊腺癌准确率分别为 80.0%、88.0%、100.0%、80.0%，定位 准确率分别为100.0%、84.0%、75.0%、 80.0%。CT对上述病变的检出正确率及定 位准确率均高于超声诊断。结论 在女性 盆腔囊性肿块病变的诊断中采用多层螺旋 CT检查，其诊断准确率高，定位精准，鉴 别价值高，优于彩色多普勒超声诊断，值 得推广。

Objective To compare the application value of ultrasound and CT in the diagnosis of female pelvic cystic mass lesions. Methods The clinical data of 78 patients with pelvic masses confirmed by surgery and pathology who received treatment in the hospital during March 2012 to March 2015 were retrospectively analyzed. All the diagnostic data of ultrasound and CT of the patients were complete. The application value of ultrasound and CT in the differentiation of pelvic cystic mass lesions. Results Among the 78 cases of patients with pelvic masses, the accurate rates of ultrasound in detection of pelvic echinococcosis, cystic solidary ovarian cyst, uterine fibroid cystic lesion and ovarian cystadenocarcinoma were 60.0%, 60.0%, 50.0% and 60.0%, respectively and the accurate rates of localization were 40.0%, 52.0%, 50.0% and 60.0%, respectively. The accurate rates of CT in detection of pelvic echinococcosis, cystic solidary ovarian cyst, uterine fibroid cystic lesion and ovarian cystadenocarcinoma were 80.0%, 88.0%, 100.0% and 80.0%, respectively and the accurate rates of localization were 100.0%, 84.0%, 75.0% and 80.0%, respectively. The accurate rates of CT in the detection of above lesions were higher than those of ultrasound. Conclusion In the diagnosis of female pelvic cystic mass lesions, to adopt multi - slice spiral CT examination, the diagnostic accurate rate is high, with accurate positioning and high differentiation value. It is better than color Doppler ultrasound diagnosis and is worthy of promotion.