CT及MRI显示卵巢血管和输卵管对附件区实性肿块的定位诊断  

CT and MRI showed ovarian vascular and uterine tube in localization diagnosis of solid tumors at adnexa area

作　　者：武庆利 付剑平 陈训贵 李文锋 林元锋 叶浩祥 Wu Qingli, Fu Jianping, Chen Xungui, Li Wenfeng, Lin Yuanfeng, Ye Haoxiang(1.Department of Radiology, Dalang Hospital, Dongguan 523770, China; 2.Department of Medical lmaging, Guangshui First People＇s Hospital, Guangshui 432700, China)

机构地区：[1]东莞市大朗医院放射科,523770 [2]广水市第一人民院医学影像科,432700

出　　处：《国际医药卫生导报》2018年第6期808-811,共4页International Medicine and Health Guidance News

基　　金：东莞市社会科技发展项目（2015105101059）

摘　　要：目的探讨CT及MRI显示卵巢血管和输卵管对附件区实性肿块的定位诊断价值。方法收集经手术病理证实的55侧（48例）卵巢肿瘤或外突型子宫肿瘤患者的CT或／和MRI资料，依据肿块与卵巢血管及输卵管的关系来识别肿块来源，并与术后病理结果对照。结果判定55侧肿块起源准确度94．55％（52／55）、敏感度100．00％（30／30）、特异度88．00％（22／25）、假阳性率12．00％（3／25）、假阴性率0．00％（0／301、阳性预测值90．91％（30／33）、阴性预测值100．00％（22／22），术前定位诊断与术后病理结果的一致性高（Kappa=0．89）。显示3条附属结构者对肿块起源判断准确率较1条、2条者高，但差异无统计学意义（P=0．35）。结论卵巢及卵巢血管和输卵管的显示对判断子宫来源和卵巢来源的实性肿块具有较高的诊断价值，显示的数量越多者诊断准确性越高。Objective To estimate the value of the CT and MRI showed ovarian vessels and uterine tube in the localization diagnosis of solid tumors at adnexa area. Methods The CT or （and） MRI features of 55 （48 cases） tumors in ovarian or ectopic uterine proved by surgery and pathology were reviewed and compared with postoperative pathologic results. Results Of the 55 sides, the determine tumor origin accuracy was 94.55%（52/55）, the sensitivity 100.00% （30/30）, the specificity 88.00% （22/25）, the false positive rate 12.00% （3/25）, the false negative rate 0.00% （0/30）, the positive predictive value 90.91% （30/33）, and negative the predictive value 100.00% （22/22）. The preoperative positioning diagnosis had high consistency with the postoperative pathological results （Kappa=0.89）.The results showed that the accuracy of the 3 accessory structures was higher than that of the 1 and the 2, but with no statistical difference （P=0.35）. Conclusions The ovaries, ovarian vessels, and uterine tube are shown to have a high diagnostic value in determining the origin of uterine tumors and ovarian tumors. The showed number is proportional to the accuracy of the judgment result.

关 键 词：卵巢肿瘤 子宫肿瘤 卵巢血管 体层摄影术 X线计算机 磁共振成像 

分 类 号：R445.2[医药卫生—影像医学与核医学] R730.44[医药卫生—诊断学] R737.31[医药卫生—临床医学]