摘要
目的:探讨CT诊断在卵巢癌和宫颈癌放射治疗前后的临床运用价值。方法:选择进行手术合并放射治疗的宫颈癌与卵巢癌患者100例,其中宫颈癌60例,卵巢癌40例。在患者进行放射治疗前后进行CT诊断,同时进行病理分期,比较CT分期与手术病理分期的差异。结果:卵巢癌患者CT检查结果显示:浆液性囊腺癌25例,黏液性囊腺癌9例,库肯勃瘤2例,卵巢未成熟畸胎瘤2例,交界性囊腺癌1例,未检出1例。FIGO分期结果显示:Ⅰ期1例,Ⅱ期11例,Ⅲ期21例,Ⅳ期6例。宫颈癌检查结果显示:鳞癌34例(低鳞20例、中鳞18例、高鳞6例)、腺癌15例、腺鳞癌11例。FIGO分期:Ⅰ期2例、Ⅱ期15例、Ⅲ期20例、Ⅳ期21例。放射治疗后CT分期与手术病理分期比较差异无统计学意义(P>0.05)。宫颈癌CT检查时见宫颈增大,或呈不规则软组织块。卵巢癌CT特征可见增强扫描,实体部分有增强。卵巢癌可产生腹水。结论:CT检查能准确地对宫颈癌、卵巢癌患者进行分期,为治疗提供准确的病灶信息,为患者的合理治疗创造前提。
Objective： To evaluate the clinical applying value of CT diagnosis for patients with ovarian and cervical cancers before and after radiotherapy. Methods： The 100 patients with ovarian and cervical cancers under-going surgery and radiotherapy were selected as the research object, among which patients with the cervical cancer were 60 cases while the ovarian cancer 40 cases. With the cancer stages being pathologically classified, the CT diag-noses were used before and after radiotherapy to compare the differences between CT stages and surgical pathologi-cal stages. Results： The CT findings of patients with ovarian cancer： 25 cases of serous cystadenocarcinoma, 9 of mucinous cystadenocarcinoma, 2 of Krukenberg tumor, 2 of ovarian immature teratoma, 1 of borderline cystadeno-carcinoma and 1 case not detected. The results of the FIGO stages of ovarian cancer ： 1 case in theⅠstage, 11 in theⅡ, 21 in the Ⅲand 6 in the Ⅳ. The outcomes of cervical cancer： 34 cases of squamous carcinoma （including 20 cases with low squamous cells, 18 with middle and 6 with high）, 15 of adenocarcinoma, 11 of adenosquamous carci-noma. The results of the FIGO stages of cervical cancer： 2 cases in theⅠstage, 15 in theⅡ, 20 in the Ⅲand 21 in the Ⅳ. There was no significant difference between CT stages and surgical pathological stages after the patients under-going the radiotherapy（P〉0.05）. The CT diagnosis of patients with cervical cancer showed that the uterine neck were enlarged or presented by irregular soft mass（P〉0.05）. The CT reinforced scans for patients with ovarian cancer demonstrated that the solid parts of the ovary were enhanced and hydroperitoneums might accompany the ovarian cancer. Conclusion： The CT examination can accurately classify the stages of cervical and ovarian cancers and pre-sent the precise information of lesions to provide an essential prerequisite of reasonable treatment for patients.
出处
《西部中医药》
2015年第1期125-128,共4页
Western Journal of Traditional Chinese Medicine
关键词
卵巢癌
宫颈癌
CT诊断
ovarian cancer
cervical cancer
CT diagnosis
