摘要
目的 提高对卵巢囊腺瘤、囊腺癌的CT诊断及鉴别诊断。方法 分析经手术病理证实 3 7例 ,45个卵巢囊腺瘤及囊腺癌的CT表现。结果 3 7例 45个卵巢囊腺瘤、囊腺癌中 ,卵巢囊腺瘤 2 8例 3 2个肿物 ,以囊性为主 ,形态上多为圆形或卵圆形 ,囊壁薄而规则 ;囊腺癌 9例 13个肿物 ,以囊实性为主 ,多为双侧不规则形 ,囊壁及囊内分隔厚而不规则呈结节状。CT术前诊断正确率达 89%。结论 CT是诊断卵巢囊腺瘤、囊腺癌的重要检查方法 ,但仍有一定的局限性 ,应结合临床综合分析 ,有利于提高诊断的正确性。
Objective To improve CT scanning in diagnosing ovarian cystadenoma and ovarian cystadenocarcinoma. Methods We analyzed 45 CT findings of ovarian cystadenoma and ovarian cystadenocarcinoma in 37 patients that surgically and pathologically proved. Results Of 37 patients with 45 ovarian cystadenoma and ovarian cystadenocarcinoma,there were 28 patients with 32 lesions of ovarian cystadenoma and 9 patients with 13 lesions of ovarian cystadenocarcinoma. The cystadenomas were cystic,usually round or oval in shape with thin and regular wall. The cystadenocarcinomas were always cystic and solid,bilateral,irregular in shape with thick and irregular wall and septa. The total accuracy of preoperative diagnosis was 89%. Conclusion CT scanning is valuable means in diagnosing of ovarian cystadenoma and ovarian cystadenocarcinoma. But it still has some limitations. Analysis in combination with clinical data is helpful in increasing the diagnostic accurary.
出处
《中国医学影像技术》
CSCD
2003年第12期1718-1719,共2页
Chinese Journal of Medical Imaging Technology
