摘要
目的 分析MSCT对女性卵巢交界性浆液性、黏液性肿瘤的鉴别诊断可行性。方法 回顾性分析2017年1月到2019年7月本院收治的卵巢交界性浆液性(37例)、黏液性肿瘤(39例)患者,所有患者均经手术病理检查确诊。对交界性浆液性、黏液性肿瘤患所得MSCT图像进行分析记录两者CT征象,并以病理检查为基础了解MSCT对交界性浆液性、黏液性肿瘤诊断符合率。结果 交界性浆液性肿瘤与交界性黏液性肿瘤在肿瘤边界、分房数目、软组织形态(囊壁间隔增厚、结节、地图样)、囊液均质、出血等情况上比较差异有统计学意义(P<0.05);交界性浆液性肿瘤45.94%为多房,软组织形态62.16%为“地图样”,肿瘤边界清楚,囊液质地均匀,囊内无出血情况;交界性黏液性肿瘤82.05%为多房,软组织形态多见囊壁间隔增厚,肿瘤边界不清楚,囊液质地不均匀,囊内多见出血;MSCT对两者诊断符合率分别为91.89%、92.30%,与病理诊断结果一致性高(P>0.05)。结论 MSCT对卵巢交界性浆液性、黏液性肿瘤鉴别诊断可行性高,两者在CT征象上存在一定差异,分房数目、软组织形态、边界、囊液质地、有无出血等有助于两者鉴别。
Objective To analyze the feasibility of MSCT in the differential diagnosis of ovarian borderline serous and mucinous tumors. Methods The data of patients with ovarian borderline serous(37 cases) or mucinous tumors(39 cases) admitted to our hospital from January 2017 to July 2019 were retrospectively analyzed. All patients were confirmed by surgical pathology. The MSCT images of patients with ovarian borderline serous or mucinous tumors were analyzed to record the CT signs. Based on pathological examination, the diagnostic accuracy of MSCT for borderline serous and mucinous tumors was understood. Results There are statistically significant differences between borderline serous tumors and borderline mucinous tumors in tumor boundaries, the locular number, morphology of soft tissue(thickness of septum of capsule wall, nodules, maps-like) homogeneity of cystic fluid, and bleeding(P<0.05). 45.94% of borderline serous tumors were multilocular, and 62.16% soft tissue shape was map-like. The boundary of the tumor was clear, the texture of the cyst fluid was uniform, and there was no bleeding in the cyst. 82.05% of borderline mucinous tumors were multilocular, Soft tissue morphology was more common with thickening of septum of capsule wall, boundary of the tumor was not clear, the texture of the cyst fluid was not uniform, and hemorrhage was more common in the capsule. The diagnostic accuracy of MSCT for them was 91.89% and 92.30%, respectively, which is highly consistent with the results of pathological diagnosis(P>0.05). Conclusion MSCT is highly feasible in the differential diagnosis of ovarian borderline serous and mucinous tumors. There are some differences in CT signs between them. The locular number, morphology of, borders, texture of cystic fluid, and presence or absence of bleeding are helpful in distinguishing between them.
作者
雷傲利
李勇平
杨利
李洁
LEI Ao-li;LI Yong-ping;YANG Li;LI Jie(Department of Gynecology and Obstetrics,Weinan First Hospital,Weinan 714000,Shaanxi Province,China;Department of Respiratory,Weinan First Hospital,Weinan 714000,Shaanxi Province,China)
出处
《中国CT和MRI杂志》
2022年第4期138-140,共3页
Chinese Journal of CT and MRI
基金
陕西省科技厅资助项目(2018SF-120)。
