卵巢囊腺瘤与囊腺癌的CT征像及病理对照

Comparison of CT Signs and Pathology of Cystadenoma of Ovary and Cystadenocarcinoma

目的采用多层螺旋CT手段对卵巢囊腺瘤以及囊腺瘤进行诊断,并与病理结果进行对照,从而评判CT诊断的准确性。方法回顾性分析2012年1月—2017年4月进入该院进行治疗的通过手术以及病理学诊断确诊为卵巢囊腺瘤以及囊腺癌的患者共100例患者的病例资料,分析疾病的CT图像特点以及与诊断结果的一致性。结果 100例患者中,卵巢囊腺瘤患者67例,囊腺癌患者33例,卵巢囊腺瘤中浆液性有45例(67.16%),囊腺癌中浆液性有27例(81.82%),数据比较差异无统计学意义(P<0.05)。比较卵巢囊腺瘤与囊腺癌CT图像上的差异发现在CT值、肿瘤直径、瘤体形态的差异有统计学意义(P>0.05)。结论卵巢囊腺瘤与囊腺癌具有各自的组织特点,在临床可以通过CT诊断的方法对于疾病做初步的诊断,对临床上卵巢囊腺瘤与囊腺癌的鉴别具有重要价值,值得推广与应用。

Objective To compare the CT signs and pathology of cystadenoma of ovary and cystadenocarcinoma thus evaluating the CT diagnostic accuracy. Methods 100 cases of patients with cystadenoma of ovary and cystadenocarcinoma diagnosed by operation and pathology treated in our hospital from January 2012 to April 2017 were selected and the consistency of disease CT image features and diagnostic results was analyzed. Results Of 100 cases of patients, there were 67 cases with cystadenoma of ovary and 33 cases with cystadenocarcinoma, and there were 45 cases with serosity in the cystadenoma of ovary(67.16%) and 27 cases with serosity in the cystadenocarcinoma(81.82%), and there was no obvious difference between groups(P<0.05), and the CT image showed that there were obvious differences in the CT value, tumor diameter and tumor shape(P<0.05). Conclusion The cystadenoma of ovary and cystadenocarcinoma each have their features, and the CT diagnosis in clinic can make a preliminary diagnosis of diseases and it is of important value to the identification of cystadenoma of ovary and cystadenocarcinoma, and it is worth promotion and application.