论文部分内容阅读
目的：提高卵巢恶性肿瘤ＣＴ诊断的准确性。方法：回顾性分析本院经手术病理证实的４５例７０个卵巢恶性肿瘤的ＣＴ表现。结果：本组资料显示卵巢肿块在盆腔或下腹部的位置不固定，其中５４．３％位于附件区。７０个卵巢恶性肿瘤中，表现为囊性肿块的有７个，囊实性肿块３３个，实质性肿块３０个，均有一定特点。本组卵巢癌腹腔转移最常见的三个部位依次为大网膜、子宫直肠窝和右膈下间隙。结论：卵巢肿块的下列三种ＣＴ表现均可被视为恶性证据：①囊性肿块的囊壁或间隔上出现结节状突起。②囊实性肿块。③分叶状实质性肿块。此外如发现伴有转移灶，亦可明确诊断。
Objective: To improve the accuracy of CT diagnosis of ovarian cancer. Methods: The CT findings of 45 cases of ovarian malignant tumors confirmed by surgery and pathology in our hospital were analyzed retrospectively. Results: This group of data show that the ovarian mass in the pelvic or lower abdominal position is not fixed, of which 54.3% in the annex area. 70 ovarian cancer, showing cystic mass in 7, cystic solid mass 33, substantial mass 30, have certain characteristics. Ovarian cancer in this group of the most common abdominal peritoneal metastasis were omentum, uterine rectum and right subphrenic space. CONCLUSIONS: The following three CT findings of ovarian masses may all be considered as malignant evidence: nodular processes appear on the cystic wall or on the cysts of cystic masses. ② cystic mass. ③ sub-lobulated mass. In addition, if found associated with metastases, but also a clear diagnosis.