卵巢囊性肿瘤内部结构超声观察及病理分析  

Observation of the Internal Structures of Ovarian Cystic Tumors by Ultrasound and Pathological Analysis

作　　者：李敬[1] 焦彤[1] 杜秀英[1] 

机构地区：[1]天津市人民医院影像中心,300121

出　　处：《医学理论与实践》2014年第9期1135-1136,1148,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探讨以囊性结构为主的卵巢肿瘤声像图表现与病理分型的关系。方法:回顾性分析71名经病理证实的以囊性结构为主的卵巢上皮性肿瘤患者,按肿瘤分化程度分为良性组(A组)、交界性组(B组)、Ⅰ期癌组(C组),按肿瘤组织来源分为浆液性组(Ⅰ组)、黏液性组(Ⅱ组)、混合性组(Ⅲ组),分析声像图,比较各组间肿瘤直径、隔数目、隔厚度、乳头面积等参数。结果:A、B、C各组测量值比较:肿瘤直径:A、B、C组间差异无统计学意义;隔厚度:A组<B组<C组(q=4.526,P<0.05;q=4.301,P<0.05);乳头总面积:A组<B组<C组(q=6.761,P<0.01;q=4.348,P<0.05)。Ⅰ、Ⅱ、Ⅲ各组测量值比较:肿瘤直径:Ⅱ组>Ⅰ组(q=4.031,P<0.05),Ⅲ与Ⅰ、Ⅱ两组组间差异无统计学意义;隔厚度:Ⅰ、Ⅱ、Ⅲ组间差异均无统计学意义。乳头面积:Ⅰ组>Ⅲ组>Ⅱ组(q=4.263,P<0.05;q=4.210,P<0.05)。以隔数为3为分界标准,Ⅱ组>Ⅲ组>Ⅰ组(P<0.05)。乳头面积以300mm2为分界标准,B组、C组>A组(P<0.05),B组、C组无统计学差异。结论:观察以囊性结构为主的卵巢肿瘤内部结构回声特点对判断其良恶性及病理分型有帮助。Objective：To explore the correlation between the ultrasonographic imaging features and pathological types in ovarian tumors consisting cystic structure.Methods：71pathologically confirmed cases of ovarian tumors mainly consisting of cystic structure were divided by the degree of differentiation into benign group（group A）,borderline group（group B）,and phaseⅠcancer group（group C）.Meanwhile they were grouped by the source tissues into serous group（groupⅠ）,mucinous group（groupⅡ）,mixed group（group Ⅲ）.Analyze two-dimensional and three-dimensional ultrasonographic imaging,compared between groups of parameters such as the tumor diameter,the number and thickness of septa,and area of papillae.Results：The results of ultrasound measurement of 3groups of A,B,C：Tumor diameter： there were no difference between group A,B and C.Thickness of septa：group A〈group B〈group C（q=4.526,P〈 0.05,q=4.301,P〈0.05）.Total area of papillae：group A 〈 group B〈group C（q=6.761,P〈0.01;q=4.348,P〈 0.05）;the results of ultrasound measurement of 3groups ofⅠ,Ⅱ,Ⅲ：Tumor diameter：groupⅡ〉groupⅠ（q=4.031, P〈0.05）,groupⅢ between groupⅠand groupⅡshowed no significant difference.Thickness of septa between group Ⅰ,groupⅡand groupⅢshowed no difference.Total area of papillae：groupⅠ〉group Ⅲ〉group Ⅱ（q=4.263,P〈 0.05;q=4.210,P〈0.05）.The septa number with 3as the dividing standard,groupⅡ〉groupⅢ〉 groupⅠ（P〈 0.05）.The nipple area with 300mm2 as the dividing standard,group B,group C〉group A（P〈0.05）,group B,group C showed no significant difference.Conclusion：Observation of the ultrasonographic imaging features of internal structure of ovarian tumors consisting mainly of cystic structure is helpful for assessment of the pathological types of the tumor.

关 键 词：卵巢囊性肿瘤 超声 病理分型 

分 类 号：R445.1[医药卫生—影像医学与核医学]