MSCT对卵巢囊腺瘤、囊腺癌诊断及其鉴别诊断价值  

Value of Multi-slice Spiral CT in the Diagnosis and Differential Diagnosis of Ovarian Cystadenomas and Cystadenocarcinomas

作　　者：范芳 唐小琦 孔蓓娜 FAN Fang;TANG Xiao-qi;KONG bei-na(Department of Obstetrics and Gynecology,Zhangjiagang Hospital of traditional Chinese Medicine,Zhangjiagang 215600,Jiangsu Province,China;Department of Imaging,Zhangjiagang Hospital of traditional Chinese Medicine,Zhangjiagang 215600,Jiangsu Province,China)

机构地区：[1]张家港市中医医院妇产科,江苏张家港215600 [2]张家港市中医医院影像科,江苏张家港215600

出　　处：《中国CT和MRI杂志》2022年第6期116-117,122,共3页Chinese Journal of CT and MRI

基　　金：张家港市科学技术局科技计划项目(ZKS1722)。

摘　　要：目的分析多层螺旋CT(multi-slice spiral CT,MSCT)对卵巢囊腺瘤、囊腺癌诊断及其鉴别诊断价值。方法选取本院2015年4月至2020年3月收治的88例卵巢上皮性肿瘤患者作为研究对象,观察病变的形态、大小、密度及增强扫描CT值等影像学特征。结果浆液性和黏液性卵巢上皮性肿瘤的CT值、肿瘤形态(囊性/实性,规则/不规则)、肿瘤直径比较无差异(P>0.05);浆液性卵巢上皮性肿瘤的边缘多光滑,多为单房,投影密度以均匀为主,两者在肿瘤边源、形态(单房/多房)及投影密度上比较差异显著(P<0.05)。卵巢囊腺癌的CT值、肿瘤直径明显大于卵巢囊腺瘤(P<0.05);卵巢囊腺癌多为多房实性肿瘤,形态多不规则,投影密度多不均匀,卵巢囊腺瘤则相反,两者肿瘤形态、边缘、投影密度比较有差异(P<0.05)。结论MSCT检查可清晰显示卵巢囊腺瘤和囊腺癌的影像学特点,两者CT征象各具有代表性,结合患者临床特征,可有效鉴别诊断卵巢囊腺瘤和囊腺癌。Objective To analyze the value of multi-slice spiral CT(MSCT)in the diagnosis and differential diagnosis of ovarian cystadenomas and cystadenocarcinomas.Methods 88 patients with epithelial ovarian tumors treated in our hospital from April 2015 to March 2020 were selected as the research objects,and the imaging features such as the shape,size,density,and enhanced CT of the lesions were observed.Results There were no differences in CT values,tumor shape(cystic/solid,regular/irregular),and tumor diameter between serous and mucinous ovarian epithelial tumors(P>0.05).Serous ovarian epithelial tumors had smooth edges,mostly unilocular,and the projection density was mainly uniform.There were significant differences between them in tumor edge,morphology(unilocular/multilocular)and projection density(P<0.05).The CT value and tumor diameter of ovarian cystadenocarcinoma were significantly larger than those of ovarian cystadenomas(P<0.05).Ovarian cystadenocarcinomas were mostly multilocular solid tumors with irregular shapes and uneven projection densities.Ovarian cystadenoma was the opposite.There were differences in tumor morphology,margins,and projection density between them(P<0.05).Conclusion MSCT examination can clearly show the imaging characteristics of ovarian cystadenomas and cystadenocarcinomas.Both CT signs are representative.The clinical characteristics of patients was combined,it can effectively differentiate and diagnose ovarian cystadenomas and cystadenocarcinomas.

关 键 词：卵巢囊腺瘤 卵巢囊腺癌 多层螺旋CT 鉴别诊断 

分 类 号：R737.31[医药卫生—肿瘤] R445.3[医药卫生—临床医学]