宫颈癌术后复发临床CT观察  

Clinical Evaluation of CT Scan for Postoperation Recurrence of Cervix Carcinoma

作　　者：吕明权 

机构地区：[1]浙江省温州市肿瘤医院影像科,325007

出　　处：《现代医用影像学》1999年第6期249-251,共3页Modern Medical Imageology

摘　　要：目的：探讨宫颈癌根治术后复发的CT检查和表现。材料与方法；收集37例宫颈癌根治术后复发病例，其中水后7个月～1年16例；1～2年13例；2年以上8例。所有病例均经CT平扫加增强以及B超检查。结果：1．CT表现：中央型22例，最小直径1．5cm，最大8cm×5cm，平扫2例阴性，20例阳性，增强后均为阳性；盆壁型15例，其中5cm×4cm8例，4cm×3cm5例，3cm以下2例；左侧10例，右侧5例。平扫和增强均为阳性。2．B超表现：阴性2例，阳性35例。结论：CT平扫阳性率与B超相同，表现均无特征性，无法确诊。而增强CT不仅检出率最高，而且病灶表现具有边缘性强化，向内浸润，内缘凹凸不平且模糊的特征，故应视为常规检查。Purpose: To study CT cxamination and manifestation of postoperation recurrence of cervix carcinoma. Materials and Methods: 37 recurrent cascs after radical operation of cervix carcinoma were included, in which 16 cases were during 7 months to 1 year after operation; 13 cases were in 1 to 2 years; 8 cases were beyond 2 years after operation. All of thc patients underwent CT scanning and ultrasonography. Results: 1. CT scan: In 22 ccntric type cascs, the minimal diameter of recurrent focus was 1. 5cm while the maximum was 8cm × 5cm: 20 was positive in CT scan, 2 was negative. But all wcrc positive in enhancement examination with intravenous injection of contrast medium. All of 15 pelvic type cases were positlve in CT scan and enhancement examination in which 8 cases werc 5cm × 4cm; 5 were 4cm × 3cm; 2 werc less than 3cm, and 10 cascs wcre in left while 5 were in right. 2.Ultrasonography examination: In 37 cases, 35 were positivc, the other 2 were negative. Conclusion: The diagnostic accurate of CT sean was the same with ultrasonography while enhancement examination of CT scan was the most sensitive, and must be accepted as routine. The characteristic features of CT manifestastion of recurrent focus were peripheral cnhancement and irregular or indistinct inner fringe.

关 键 词：宫颈癌 复发灶 CT 诊断 

分 类 号：R737.33[医药卫生—肿瘤]