女性盆腔原发性肿瘤超声、CT检查影像学表现及与病理结果对照研究  

Imaging Features of Ultrasound and CT Examination of Female Pelvic Primary Tumors and Comparison with Pathological Results

作　　者：张翠珠[1] 顾建伟[1] 赵秀娜 刘金凤[1] ZHANG Cui-zhu;GU Jian-wei;ZHAO Xiu-na(Department of Ultrasound,Shenyang Maternal and Infant Hospital,Shenyang 110011,Liaoning Province,China)

机构地区：[1]辽宁省沈阳市妇婴医院超声科,辽宁沈阳110011

出　　处：《中国CT和MRI杂志》2020年第7期127-130,共4页Chinese Journal of CT and MRI

基　　金：辽宁省自然科学基金(编号:20170540837)。

摘　　要：目的旨在探讨女性盆腔原发性肿瘤超声、CT检查影像学表现,并将其诊断结果与病理结果进行对比分析。方法选取2016年5月至2018年12月我院收治的84例盆腔原发性肿瘤患者作为研究对象,以术后病理活检结果作为诊断标准,总结不同检查方法对女性盆腔原发性肿瘤的检出率和诊断符合率,并分析不同疾病在不同检查中的影像学图像表现。结果两种检查方法在病灶检出率比较(100.00%vs95.24%)上无差异(P>0.05),但CT检查诊断符合率显著高于超声检查(95.24%vs83.33%)(P<0.05)。超声检查示子宫肌瘤表现为肿块多呈现为低回声;宫颈癌显示子宫明显增大,宫颈处可见强光条光团反射,边缘不清;卵巢良性肿瘤病灶边界清楚,内部无回声,后壁回声增强;卵巢癌病灶内部回声呈现均匀或不均匀;畸胎类肿瘤其病灶外观正常,病灶内部既有片状不规则强回声,后壁回声增强。CT平扫中子宫肌瘤病灶表现为分叶状或向外突出,进一步增强扫描显示明显均一强化;宫颈癌平扫未见明显异常,进一步增强扫描可见形态不规则密度影,旁见软组织肿块影;卵巢良性肿瘤平扫示呈圆形或类圆形水样密度块影,病灶壁薄边缘清晰,进一步增强示病灶囊壁略强化而囊肿本身无强化;卵巢癌平扫示病灶外壁乳头状凸起,进一步增强扫描后病灶囊壁及实性成分明显强化;畸胎类肿瘤CT平扫示表现典型,具有脂肪、软组织和钙化三种密度,进一步增强示未见明显强化。结论超声和CT对女性盆腔原发性肿瘤的检出价值类似,但CT检查对盆腔原发性肿瘤的诊断率更高,故临床可将超声检查作为盆腔原发性肿瘤的首选检查,将CT作为其补充检查,进一步提高盆腔原发性肿瘤的诊断正确率。Objective To investigate the imaging features of ultrasound and CT examination of female pelvic primary tumors, and compare the results of diagnosis with pathological results. Methods 86 patients with primary pelvic tumors admitted to our hospital from May 2016 to December 2018 were selected as the study subjects. The results of postoperative pathological biopsy were used as the diagnostic criteria. The detection rate and coincidence rate female pelvic primary tumors by different examination were summarized. and the imaging features of different diseases in different examinations was analyzed. Results There was no difference in the detection rate of the two examinations(100.00%vs95.24%)(P>0.05), but the coincidence rate of CT examination was significantly higher than that of ultrasound(95.24%vs83.33%)(P<0.05). Ultrasound examination showed that the mass of uterine fibroids showed a low echo, cervical cancer showed significant increasing of uterus, and at the cervix, there was strong reflection of light strip with unclear edge. The boundary of lesions of benign ovarian tumors was clear, there was no echo inside, and the echo of the posterior wall was enhanced. The internal echo of lesions of ovarian cancer showed uniformity or unevenness;the appearance of the lesions of the teratogenic tumors was normal, and there were flaky and irregular echoes inside the lesions, and the echoes of posterior wall were enhanced. In the CT plain scan, the lesions of uterine fibroids showed lobular or outward bulging, and the enhanced scan showed obvious and uniform enhancement. The plain scan of cervical cancer did not show obvious abnormalities, and further enhanced scan, further enhanced scan showed shadow with irregular shape and low density, and the mass shadow of soft tissue can be seen. The plain scan of ovarian benign tumor showed a round water-like density shadow, the wall of the lesion was thin and the edge was clear. Further enhancement showed that the lesion wall was slightly strengthened and the cyst itself was not enha

关 键 词：女性 盆腔原发性肿瘤 超声 CT 临床价值 

分 类 号：R711[医药卫生—妇产科学] R711.33[医药卫生—临床医学]