B型超声联合MSCT诊断女性卵巢原发性恶性肿瘤的临床价值分析  

Analysis on Clinical Value of Type B Ultrasound Combined with MSCT in the Diagnosis of Primary Malignancies of Ovaries

作　　者：古立娟[1] 石尖兵[1] 王小倩[1] GU Li-juan;SHI Jian-bing;WANG Xiao-qian(Department of Ultrasound,Jingmen First People's Hospital,Jingmen 448000,Hubei Province,China)

机构地区：[1]湖北省荆门市第一人民医院超声科,湖北荆门448000

出　　处：《中国CT和MRI杂志》2020年第5期41-42,55,共3页Chinese Journal of CT and MRI

基　　金：湖北省自然科学基金(编号:2016CFC764)。

摘　　要：目的探讨B型超声联合MSCT诊断女性卵巢原发性恶性肿瘤的临床价值。方法收集本院2017年11月至2018年9月收治的60例女性卵巢原发性恶性肿瘤患者临床及影像学资料,分析总结卵巢原发性恶性肿瘤在B型超声及MSCT中的图像表现,统计两种检查对卵巢原发性恶性肿瘤的诊断灵敏度及特异度。结果B型超声对卵巢原发性恶性肿瘤的诊断灵敏度及特异度分别为86.25%、80.00%,MSCT对卵巢原发性恶性肿瘤的诊断灵敏度及特异度分别为88.75%、83.75%,B型超声联合MSCT对卵巢原发性恶性肿瘤的诊断灵敏度及特异度分别为98.75%、97.50%,明显高于超声、MSCT检查,差异有统计学意义(P<0.05);超声图像可见实性浆液性囊腺癌:圆形或椭圆形,囊壁纤薄光滑,囊内透声好,血流丰富;实性黏液性囊腺癌:多隔多房,壁薄且光滑均匀,囊内见较密集光点回声,部分房内透声好;卵巢颗粒细胞瘤可为实性、囊实性或囊性肿块,分隔较厚,血流丰富;CT图像可见实性浆液性囊腺癌:菜花状、结节状或不规则片状,增强后强化明显;实性黏液性囊腺癌:实性肿块,边缘清晰,增强后呈轻-中度强化,实性区可有不规则片状坏死。卵巢颗粒细胞瘤:肿瘤为实性,表面光滑,包膜完整,为圆形、卵圆形,长为单房,囊壁厚薄不均。结论B型超声和MSCT都可以有效的显示卵巢原发性恶性肿瘤在影像学特点,两者联合诊断效能更高。Objective To analyze clinical value of Type B ultrasound combined with MSCT in the diagnosis of primary malignancies of ovaries.Methods 60 female patients with primary malignancies of ovaries admitted to our hospital from November 2017 to September 2018 were enrolled.Clinical and imaging data were collected to summarize the features of primary malignancies of ovaries in Type B ultrasound and MSCT,and the diagnostic sensitivity and specificity for primary malignancies of ovaries were calculated.Results The diagnostic sensitivity and specificity of Type B ultrasound for primary malignancies of ovaries were 86.25%and 80.00%,respectively.The diagnostic sensitivity and specificity of MSCT for primary malignancies of ovaries were 88.75%and 83.75%,respectively.The diagnostic sensitivity and specificity of Type B ultrasound combined with MSCT for primary malignancies of ovaries were 98.75%and 97.50%,respectively,which were significantly higher than those of ultrasound and MSCT alone.The difference was statistically significant(P<0.05).Ultrasound images showed solid serous cystadenocarcinoma that was round or ovals.And capsule wall was thin and smooth,the sound of capsule was well,and the blood flow was rich.Solid mucinous cystadenocarcinoma seen in ultrasound images:There were many compartments in the cyst that were thin and smooth,and there are dense bright spots and echoes in the capsule,the sound of some rooms was well.Ovarian granulosa cell tumors may be solid,solid-cystic or cystic masses with thicker separation and abundant blood flow.CT images showed solid serous cystadenocarcinoma:it was cauliflower-like,nodular or irregular and flaky.After enhancement of CT,the reinforcement is obvious.Solid mucinous cystadenocarcinoma seen in CT images:Its edges were clear with solid lumps,and after enhancement of CT,it showed light-to-moderate enhancement,and solid areas may have irregular and flaky necrosis.Ovarian granulosa cell tumor seen in CT images:the tumor was solid,the surface was smooth,the envelope was intact,round

关 键 词：B型超声 MSCT 女性 卵巢 原发性恶性肿瘤 

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