摘要
目的：提高卵巢肿瘤ＣＴ诊断的正确性。材料和方法：回顾２８例３７个经手术病理证实卵巢肿瘤ＣＴ资料，分析肿块本身ＣＴ特征（囊性，实性，囊实性），及其伴同变化。讨论良、恶性卵巢肿瘤的定位与定性诊断。结果：全腹部，大间距，多次的ＣＴ检查技术可对较大的卵巢肿瘤与卵巢外肿块作出鉴别。囊性肿块８０％为良性，实性肿块８７．５％为恶性，而囊实性肿块的良、恶性分别为５７．１４％与４２．８６％。结合肿块外形轮廓、囊实性成分比例、伴发的腹水及邻近脏器变化等ＣＴ表现可对本组术前误诊病例及ＣＴ表现不典型者作出良、恶性鉴别。结论：ＣＴ检查可对卵巢肿瘤的定位及良、恶性作出定性诊断。
Purpose: For promoting the CT diagnostic accuracy of ovarian tumors. Materials and Methods: 37 surgical pathologic proved ovarian tuniors with their CT images in 28 cases were analysed retrospectively including CT specificities of cystic, solid, cystsolid and the related accompanied changes. The localization and cell determination of benign and malignant nature of the ovarian tuniors were also discussed. Results: The multiple times CT scans with different intervals can differentiate rather big ovarian tuniors with extra-ovarian tumors. 80% of cystic masses were proved as benign while 87.5% solid masses as malignant, simultaneously the distribution of benign and malignant percentages among cyst-solid masses were 57.14% and 42.86% respectively. The differential diagnosis of benign and malignant ones in preoperative wrong diagnostic and atypical CT finging cases can be further promoted by analysing the shape contour, the proportion between cyst and solid content of the masses together with CT manifestations ascites and changes of nearby organs. Conclnsion: CT scan can determine the localization, benign, and malignant nature of the ovarian tuniors.
出处
《中国医学计算机成像杂志》
CSCD
1995年第1期37-41,共5页
Chinese Computed Medical Imaging
