多层螺旋CT对卵巢粘液性肿瘤诊断价值.docVIP

多层螺旋CT对卵巢粘液性肿瘤诊断价值【中图分类号】R445 【文献标识码】A 【文章编号】1672－3783(2011)07－0249－01 【摘要】目的 探讨螺旋CT在卵巢粘液性肿瘤诊断中临床应用价值，提高对其CT诊断及鉴别诊断能力。方法 研究对象包括2000年1月到2010年1月间，临床怀疑有卵巢肿瘤性病变而行SCTE检查者260例，回顾性分析32例经手术、病理证实的粘液性卵巢肿瘤的CT表现。结果 32 例（39个病灶）卵巢粘液性肿瘤均表现为囊性为主，形态多为圆形或圆形，病灶平均直径大于5cm。其中粘液性囊腺瘤18例21个，表现为单房6个，多房15个。交界性囊腺瘤6例,表现为壁厚而不规则的囊壁及分隔，实性成分相对较多。粘液性囊腺癌10例，表现为多房囊实性为主的肿块, 常侵犯邻近组织结构。结论 对于有特征性的粘液性卵巢肿瘤，CT诊断不难，但少数不典型的囊腺瘤，鉴别诊断有一定的局限性，需综合分析，以提高诊断正确性。 【关键词】卵巢； 粘液性肿瘤；体层摄影术，X线计算机。 The Diagnostic value of spiral CT in mucous Ovarian tumors 【Abstract】Objective: To study the clinical application value of spiral CT in the mucous ovarian tumors. Improving the ability of CT diagnosis and differential diagnosis of its. Methods: The study group included 260 patients who were suspected of ovarian tumors, from january, 2000 to january, 2010.CT features of 32 cases with histologically proven mucous ovarian tumors were retrospectively reviewed.Results: 32 cases in the mucous ovarian tumors with 39 lesions demonstrated predominantly round or oval systic masses,with more than 5cm in diameter,thin.Mucinous ovarian cystadenomasin 18 cases with 21 lesions,6(6/21) unilocular,15(15/21)multilocular. The borderline transformation ovarian cystadenomasin 4 cases, ti is demonstrated predominately thick irregular wall or septa with projections,solids composition be opposite and more.Mucous cystadenocarcinomas in 10 cases,ti is demonstrated predominately multilocular with systis and solid ares,and often have involved adjacent tissues and structures. Conclusion: CT is valuable for the diagnosis oftypical mucous ovarian tumors,while needs syntheticalty analyzed for atypical ones. 【Key words】Ovary; mucous tumors;Tomography，X-ray computed. 卵巢粘液性肿瘤是来源于卵巢上皮的较常见的肿瘤，由于临床表现无特异性，其检出和诊断常有赖于影像学检查，CT对本病诊断价值杂志报道较少，本文回顾分析我院及怀化市第一人民医院2000年1月～2010年1月手术治疗卵巢良、恶性肿瘤152例，收集有完整CT资料及经手术病理证实的卵巢粘液性肿瘤42例，旨在进一步认识本病的CT征象及提高诊断的准确率。 1 材料与方法 1.1 年龄20～72岁，平均36.4岁。多数在35～47岁。临床症状各异：临床症状主要有腹胀、下腹隐痛、下坠感，部分有便秘、腹腔和盆腔肿块。部分患者无明确临床表现，体检发现。32例均行手术切除，并经病理