摘要
目的探讨多层螺旋CT对卵巢囊腺瘤及囊腺癌的鉴别诊断价值及其影像学特点。方法选取我院收治的125例卵巢囊腺瘤及囊腺癌患者,比较两者多层螺旋CT的影像学特征。结果125例卵巢囊腺肿瘤患者中卵巢囊腺瘤者占78.4%,卵巢囊腺癌者占21.6%,两者病例分型均以浆液性占大部分,分别为69.39%及66.67%,差异无统计学意义(P>0.05)。黏液性卵巢囊腺瘤与浆液性卵巢腺瘤在CT值、瘤体直径、瘤体形态(实性/囊性、规则/不规则)之间的差异无统计学意义(P>0.05)。黏液性卵巢囊腺瘤与浆液性卵巢腺瘤在瘤体形态(单房/多房)、瘤体边缘及投影密度之间的差异有统计学意义(P<0.05)。黏液性瘤体的形态表现以多房、规则、囊性为主。良恶性卵巢囊腺瘤在CT值、瘤体直径、瘤体形态、投影密度及瘤体边缘之间的差异有统计学意义(P<0.05)。结论多层螺旋CT能够准确显示卵巢囊腺瘤良恶性的特征,虽然两者存在一定重合性,需要结合临床体征等综合指标进行综合评估。
Objective To explore the differential diagnostic value and imaging characteristics of multislice spiral CT in ovarian cystadenoma and cystadenocarcinoma.Methods One hundred and twenty-five cases with ovarian cystadenoma or cystadenocarcinoma in our hospital were selected,and their imaging features of multi-slice spiral CT were compared.Results In 125 cases,ovarian cystadenoma accounted for 78.4%and ovarian cystadenocarcinoma for 21.6%.The more cases were serous cystadenoma or serous cystadenocarcinoma,and accounted for 69.39%and 66.67%respectively,the difference was not statistically significant(P>0.05).There was no significant difference in CT value,tumor diameter,tumor morphology(solid/cystic,regular/irregular)between mucinous and serous ovarian cystadenoma(P>0.05).The difference between mucous and serous ovarian cystadenoma was significant about the tumor morphology(single chamber/multilocular),the edge of the tumor and the projection density(P<0.05).The morphology of mucinous cystadenoma was mainly multilocular,regular and cystic.The difference between benign and malignant ovarian cystadenoma in CT value,tumor diameter,tumor shape,projection density and tumor margin was statistically significant(P<0.05).Conclusion Multi-slice spiral CT can accurately show the characteristics of benign and malignant ovarian cystadenoma.Although there is a certain degree of coincidence between the two kind tumors,combination of comprehensive assessment of clinical signs and other comprehensive indicators can provide an effective basis for clinical treatment.
作者
傅晓明
高波
周科峰
李宝新
FU Xiaoming;GAO Bo;ZHOU Kefeng;LI Baoxin(Department of Radiology,Nanjing Gaochun People's Hospital,Nanjing 211300,P.R.China;Department of Ultrasound,Nanjing Gaochun People's Hospital,Nanjing 211300,P.R.China;Department of Radiology,Nanjing Drum Tower Hospital,Nanjing 210008,P.R.China)
出处
《医学影像学杂志》
2019年第7期1181-1184,共4页
Journal of Medical Imaging
关键词
卵巢囊腺瘤
良恶性
体层摄影术
X线计算机
Ovarian cystadenoma
Benign and malignant
Tomography,X-ray computer
