卵巢囊性肿瘤的影像学分析  

Imaging study of ovarian cystic tumors

作　　者：蒋世曦[1] 张瑜[2] 曾国飞[2] 郭大静[2] 

机构地区：[1]重庆市肿瘤研究所放射科,400030 [2]重庆医科大学附属第二医院放射科,400010

出　　处：《检验医学与临床》2014年第8期1034-1036,共3页Laboratory Medicine and Clinic

基　　金：重庆市卫生局科研基金资助项目(2010-2-307)

摘　　要：目的分析卵巢囊性肿瘤的影像学特点,为临床提供可靠的诊断及治疗依据。方法回顾性分析45例经手术及病理证实的卵巢囊性肿瘤的CT或MRI影像资料。纳入标准为病灶囊性成分所占比例大于70%,肿瘤最大径超过5cm。所有病例均行平扫及增强CT或MRI检查。结果 45例中包括卵巢囊腺瘤16例、囊腺癌6例、腺癌5例、腺纤维瘤1例、畸胎瘤2例、囊肿4例、子宫内膜异位囊肿2例、输卵管系膜囊肿2例及输卵管卵巢囊肿7例。结论影像学检查对卵巢囊性肿瘤的定位、定性诊断和鉴别诊断具有一定的临床意义,明确诊断仍需要结合术后病理结果。Objective To study the image features of ovarian cystic tumors and to provide reliable information for clinical diagnosis and treatment .Methods Data of computed tomography （CT ） or magnetic resonance imaging （MRI） examination of 45 cases with ovarian cystic tumors ,proven by surgery and pathology ,were analyzed retro-spectively .The inclusion criteria included that the proportion of cystic lesion was greater than 70% of the whole tumor ,the diameter of the tumor was larger than 5 cm .All cases underwent unenhanced and contrast-enhanced CT or MRI examination .Results Among all of the 45 cases ,there were 16 cases with cystadenoma ,6 cases with cystade-nocarcinoma ,5 cases with adenocarcinoma ,1 case with adenofibroma ,2 cases with teratoma ,4 cases with cysts ,2 ca-ses with endometriosis ,2 cases with mesosalpinx cysts ,and 7 cases with tubal ovarian cysts .Conclusion Imaging ex-amination could play an important role for the localization ,diagnosis ,differential diagnosis of ovarian cystic tumors , while the definite diagnosis might require combination with postoperative pathological detection .

关 键 词：卵巢 肿瘤 

分 类 号：R737.31[医药卫生—肿瘤]