超声、CT对卵巢原发性恶性肿瘤的诊断价值-影像医学与核医学专业论文.docxVIP

新疆医科大学硕士学位论文 新疆医科大学硕士学位论文 PAGE PAGE 1 超声，CT 对卵巢原发性恶性肿瘤的诊断价值 研究生：吕娟 导师：马富成 主任医师 摘 要 目的：探讨卵巢原发性恶性肿瘤的超声、CT 表现，评估临床超声、CT 及其联 合对卵巢原发性恶性肿瘤的诊断价值及对分期的帮助。方法：回顾性分析我院经手 术病理证实的 88 例卵巢原发性恶性肿瘤的临床及影像学资料，就其结果进行分析， 其中 88 例卵巢原发性恶性肿瘤患者均行超声、CT 检查，运用四格表分别计算超声、 CT 及超声联合 CT 各自的敏感性、特异性和准确性。并就其准确度绘制 ROC 曲线， 比较超声、CT 及超声联合 CT 的诊断准确度。并就卵巢原发性恶性肿瘤的几处转移 分别做超声、CT 诊断与病理诊断的一致性分析。结果：卵巢恶性肿瘤诊断的灵敏度、 特异度，超声、 CT 及超声与 CT 联合检查分别为 76.14%/81.82%/92.05% 、 83.33%/89.58%/95.83。超声、CT 及联合诊断的 ROC 曲线图说明超声、CT 单独诊断 时诊断准确性中等，而两者联合检查时诊断准确性较高。同时超声、CT 对各处转移 与病理的一致性分析说明两者对临床分期均可以提供依据。结论：超声、CT 单独检 查诊断的准确性不及二者联合诊断的准确性高，超声、CT 诊断可以为卵巢原发性恶 性肿瘤的临床分期提供依据。 关键词：卵巢原发性恶性肿瘤；超声；CT Investigation of Ultrasonography and CT diagnostic value in ovarian malignant neoplasm Postgraduate: Lv Juan Tutor: Prof. Ma Fu Cheng ABSTRACT Objective: To study the CT and ultrasonic manifestations of ovarian neoplasm, to evaluate the values of Ultrasonography?CT imaging and US combined CT in diagnosis of ovarian malignant neoplasm. Methods: The findings of Ultrasonography ? CT and Ultrasonography combined with CT of ovarian malignant neoplasm confirmed by surgery and pathology of 88 cases were analyzed and computed sensitivity?specialty and accuracy respectively. All of patients were examined by Ultrasound and CT. And make the ROC graph of both ultrasound and CT. Analyses the Kappa of Ultrasound and CT about metastasis of ovarian carcinoma. Results: In diagnostic characteristics of ovarian malignant the sensitivity and specialty of US/CT/US-CT were 76.14%/81.82%/92.05%? 83.33%/89.58%/95.83.The accuracy of Ultrasound combined CT is better than Ultrasound or CT. And make the Kappa analysis Ultrasound and CT for the metastasis of ovarian cancer. Conclusion: US is preferred examine and useful for early diagnosis of ovarian malignant neoplasm. But because of interfering of gas of intestine, the use of US is restricted .CT imaging may show the size ?rang and inner structure of the neoplasm, and show surrounding anatomic structure and forane meta