电子束CT在判断卵巢恶性肿瘤分期及手术可切除中的价值  

The value of electron beam computed tomography in tumor staging and evaluating resectability of ovarian carcinoma

作　　者：苏宏[1] 郑宁[2] 黄伟[1] 刘锦霞[2] 陈自谦[1] 卢光明[1] 

机构地区：[1]南京军区南京总医院医学影像科,江苏南京210002 [2]南京军区南京总医院妇产科,江苏南京210002

出　　处：《医学研究生学报》2005年第10期898-901,共4页Journal of Medical Postgraduates

基　　金：南京军区南京总医院科研基金资助项目(批准号:2003131)

摘　　要：目的:探讨电子束CT(EBCT)在卵巢癌诊断、肿瘤分期及判断手术可切除性中的作用。方法:25例卵巢恶性肿瘤患者术前1周内行全腹部及盆腔EBCT检查,将CT表现与手术及病理结果进行对照分析。结果:经病理结果证实,浆液性囊腺癌11例,黏液性囊腺癌6例,恶性畸胎瘤3例,卵巢转移癌2例,透明细胞癌、胚胎癌及未分化癌各1例。肿瘤Ⅰ期7例,Ⅱ期7例,Ⅲ期9例,Ⅳ期2例。肿瘤周围血管、脏器被侵犯及腹膜种植转移是增加手术难度的重要因素。与普通CT比较,EBCT具有扫描速度快,图像质量好,病变细节显示清晰的优点。结论:EBCT在卵巢癌诊断、肿瘤分期和手术可切除性的判断中具有重要价值。Objective： Evaluating ovarian carcinoma diagnosis,staging and resectability with EBCT. Methods： 25 cases of ovarian carcinoma were performed in total abdominal including pelvic with EBCT one week before operation. CT findings were compared and analysed with surgical and pathological results. Results： Of 25 patients, 11 were serous cyst adenocarcinoma, six mucinous cyst adenocarcinoma, three malignant teratoma ,two metastases, and each have only one for clear cell carcinoma, embryo carcinoma and undifferentiated carcinoma. Clinical staging of carcinoma were seven in stage Ⅰ, seven in stage Ⅱ , nine in stage Ⅲ, two in stage Ⅳ. Invaded vessels and nearby organs around ovarian carcinoma, and the status of peritoneum metastases, were main factors that influenced the difficulties of operation. Compared with conventional CT, EBCT has the virtues of uhrafast scanning,excellent quality of image, and displaying focus detail fine. Conclusion： EBCT scanning is very valuable in diagnosis, tumor staging and evaluating resectability of ovarian carcinoma.

关 键 词：电子束CT 卵巢癌 肿瘤分期 手术 

分 类 号：R737.31[医药卫生—肿瘤]