卵巢肿瘤31例的CT诊断  

CT diagnosis of the ovarian tumor of 31 Cases

作　　者：荣文霞[1] 孙西军[1] 张波[1] 

机构地区：[1]江苏省连云港市第一人民医院影像科,222002

出　　处：《淮海医药》2003年第2期96-97,共2页Journal of Huaihai Medicine

摘　　要：目的　探讨卵巢肿瘤的 CT表现 ,提高卵巢良恶性肿瘤的诊断正确性。方法　回顾经 CT检查、手术病理证实的卵巢肿瘤 3 1例 3 5个瘤块的全部资料 ,分析其肿瘤的 CT特征表现。结果　 CT诊断与术后病理对照 ,定位诊断符合率为 96.7% ( 3 1/ 3 0 ) ;其中良性肿瘤 18例 ,CT术前诊断 17例 ,诊断符合率为 94.4% ( 18/ 17) ;恶性肿瘤 13例 ,CT术前诊断 11例 ,诊断符合率为 84.6% ( 13 / 11)。肿瘤根据 CT表现分三种类型 ,即囊性、实性和囊实性 ,其中囊性肿块 88.9%为良性 ,实性肿块 66.7%为恶性 ;而囊实性肿块的良恶性分别为 5 6.5 %和 43 .5 %。结论　CT检查可很好显示肿瘤的内部及周围结构 ,对定位。Objective To study CT manifestations of ovarian tumors in order to improve the CT diagnostic accuracy.Methods Imaging finding of 35 tumors in 31 pathologically proved cases were reviewed so as to analyze its characteristic manifestations.Results Comparing with pathological diagnosis of the ovarian tumors,the rate of accordance of CT locative diagnosis was 96.7%.Among 31 cases,18 cases were benign,in which 17 cases were correctly diagnosed before operations and the accuracy rate of CT diagnosis was 94.4%(17/18).Anothor 13 cases were malignant in which 11 cases were correctly diagnosed before operations and the accuracy rate was 84.6%(11/13).According to the CT manifestations of the ovarian tumors,three sub-types were defined as cystic?parenchymatous and cyst-parenchymatous tumors.88.9% of cystic masses was benign,66.7% of parendymatous masses was malignant,56.5% of cyst-parenchymatous masses was benign and 43.5% cyst-parenchymatous was malignant.Conclusion CT examination can easily identify interior and marginal structures of the overian tumors and may have some value in the locative and definitive diagnosis.

关 键 词：卵巢肿瘤 诊断 CT 

分 类 号：R737.31[医药卫生—肿瘤] R730.44[医药卫生—临床医学]