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目的:提高卵巢肿瘤CT诊断的准确性。材料与方法:经手术和(或)病理证实的130例卵巢肿瘤,其中良性72例,恶性58例。重点分析其CT征象。结果:囊性(46例)、实性(29例)、囊实性(55例)以及合并周围组织或脏器粘连(45例)是卵巢肿瘤的主要CT表现。其中囊性表现多见于良性卵巢肿瘤(36/46例,占78%),恶性肿瘤以实性表现居多(25/29例,占86%);囊实性和(或)合并周围组织粘连既可出现于恶性肿瘤也可见于良性肿瘤,类似共性存在的征象还包括了病灶大小悬殊(1～25cm)、病灶边缘、密度、增强后的改变。结论:由于盆腔组织结构的紧密且复杂,卵巢肿瘤的CT表现具有多样性和可变性,有必要进一步探讨提高其诊断准确性。
Objective: To improve the accuracy of CT diagnosis of ovarian tumors. MATERIALS AND METHODS: 130 cases of ovarian tumors were confirmed by surgery and / or pathology, of which 72 were benign and 58 were malignant. Focus on the CT signs. Results: Cyst (46 cases), solidity (29 cases), cystic solidity (55 cases), and peripheral tissue or visceral adhesions (45 cases) were the main CT findings of ovarian tumors. Cystic manifestations more common in benign ovarian tumors (36/46 cases, accounting for 78%), malignant tumors in real performance (25/29 cases, accounting for 86%); cystic solidity and (or) with the surrounding tissue adhesion Can appear in malignant tumors can also be found in benign tumors, signs of similar common existence also includes the size of the lesions (1 ~ 25cm), the edge of the lesion, density, enhanced changes. Conclusion: Due to the close and complicated pelvic structure, the CT features of ovarian tumors have diversity and variability, so it is necessary to further explore and improve the diagnostic accuracy.