下载文档原格式
卵巢囊腺瘤CT和MRI诊断价值及影像特点分析吴国良;王树平;付广印;韩东亮;李华;杨彦林【摘要】Objective To analyze the imaging characteristics of CT and MRI of ovarian cystadenoma.Methods Imaging data of 54 patients confirmed with ovarian cystadenoma by operation and pathology in Henshui People''s Hospital of Hebei Province from October 2012 to May 2016 was analyzed parison was performed on average age, lesion size and imaging features among cases with serous cystadenoma, mucinous cystadenoma, borderline cystadenoma and cystadenocarcinoma.Results Pathological results of 54 patients with ovarian cystadenoma were as follows: 27 cases of serous cystadenoma, 13 cases of mucinous cystadenoma, 2 cases of borderline serous cystadenoma, and 12 cases of cystadenocarcinoma.Diagnostic accuracy of CT and MRI was 92.59% (50/54) and 92.31% (12/13), respectively, and the difference between them wasnot statistically significant (χ2=0.001, P>0.05).Age and lesion diameter were significantly different among patients with serous cystadenoma, mucinous cystadenoma and cystadenocarcinoma (F value was 4.418 and 3.976, respectively, both P<0.05).Lesion location was not significantly different (Pfisher>0.05), but internal structure had significant difference (Pfisher<0.05).CT imaging of cystic cavity had significant difference between serous cystadenoma and mucinous cystadenoma (t=3.378,P<0.05).Conclusion CT and MRI can both obtain ideal diagnosis results in ovarian cystadenoma.Serous cystadenoma is more common with singlecavity and cyst wall can be calcified, wall nodules are rare, and can be bilateral.Mucinous cystadenoma is mainly multilocular, and cyst wall has little calcification, probably with wall nodules.Size of cystadenocarcinoma is smaller and it is mainly cystic solid lesion, and its solid components are significantly enhanced.The analysis is helpful for initial diagnosis of ovarian cystadenoma and differential diagnosis of benign and malignant lesions.%目的分析卵巢囊腺瘤电子计算机断层扫描(CT)及磁共振成像(MRI)影像特点.方法回顾性分析河北省衡水市人民医院2012年10月至2016年5月经手术病理证实的54例卵巢囊腺瘤患者的影像资料,围绕浆液性囊腺瘤、黏液性囊腺瘤、交界性囊腺瘤、囊腺癌患者平均年龄、病变大小及各自影像特征进行对比分析.结果 54例卵巢囊腺瘤患者病理结果为:浆液性囊腺瘤27例、黏液性囊腺瘤13例、交界性浆液性囊腺瘤2例,囊腺癌12例,CT诊断准确率为92.59%(50/54),MRI诊断准确率92.31%(12/13),二者诊断准确率比较差异无统计学意义(χ2=0.001,P>0.05).浆液性囊腺瘤、黏液性囊腺瘤、囊腺癌3组不同性质卵巢肿瘤患者年龄、病变直径均有显著性差异(F值分别为4.418、3.976,均P<0.05),病灶部位无显著性差异(Fisher法,P=0.135),内部结构有显著性差异(Fisher法,P=0.000),浆液性囊腺瘤与粘液性囊腺瘤囊腔CT值有显著性差异(t=3.378,P<0.05).结论在卵巢囊腺瘤诊断中CT和MRI均可获得理想的诊断结果.浆液性囊腺瘤以单房多见,囊壁可以钙化,壁结节少见,可双侧发病,粘液性囊腺瘤以多房为主,囊壁少有钙化,可有壁结节,囊腺癌体积略小,以囊实性病变为主,实性成分显著强化,对其分析有助于卵巢囊腺瘤的初步诊断及良恶性鉴别诊断.【期刊名称】《中国妇幼健康研究》【年(卷),期】2017(028)007【总页数】4页(P893-896)【关键词】卵巢囊腺瘤;电子计算机断层扫描;磁共振成像;影像特点【作者】吴国良;王树平;付广印;韩东亮;李华;杨彦林【作者单位】河北省衡水市人民医院介入科,河北衡水053000;河北省衡水市人民医院介入科,河北衡水053000;河北省衡水市人民医院介入科,河北衡水053000;河北省衡水市人民医院介入科,河北衡水053000;河北省衡水市人民医院介入科,河北衡水053000;河北省衡水市人民医院介入科,河北衡水053000【正文语种】中文【中图分类】R711.7卵巢囊腺瘤(ovarian cystadenoma)是目前临床中较为常见的一种卵巢上皮组织来源的肿瘤，病理类型包括浆液性、粘液性、混合性，根据其生物学行为可分为良性、交界性及恶性，以良性浆液性囊腺瘤最为多见[1]。
卵巢囊腺瘤CT和MRI诊断价值及影像特点分析发表时间：2018-05-09T14:51:13.687Z 来源：《医师在线》2018年1月上第1期作者：罗艺文[导读] 卵巢囊腺瘤为临床常见型卵巢上皮组织肿瘤，有多种病理类型，即混合性、粘液性与浆液性。
清远市人民医院放射科 511518【摘要】目的探讨卵巢囊腺瘤采用电子计算机断层扫描（CT）与磁共振成像（MRI）的诊断价值及影像特点。
方法选取本院收治的52例卵巢囊腺瘤患者，回顾分析其临床及影像学资料。
比较囊腺癌、黏液性囊腺瘤、交界性囊腺瘤及浆液性囊腺瘤的病变大小、平均年龄及影像特征。
结果 CT诊断准确率92.31%（48/52），MRI为90.91%（10/11），两组比较无显著差异（P＞0.05）。
囊腺癌、黏液性囊腺瘤及浆液性囊腺瘤各组不同性质卵巢肿瘤患者病变直径、年龄差异显著（P＜0.05），病灶部位比较，差异不明显（P＜0.05），内部结构比较，差异显著（P＜0.05），粘液性囊腺瘤与浆液性囊腺瘤囊腔CT值比较，差异显著（P＜0.05）。
结论 CT与MRI应用于卵巢囊腺瘤诊断中，均可得到较好诊断结果。
浆液性囊腺瘤多为单房，囊壁可钙化，壁结节并不多见，能双侧发病，粘液性囊腺瘤多为多房，囊壁钙化少，有壁结节，囊腺癌有较小体积，多为囊实性病变，对其进行分析，对卵巢囊腺瘤良恶性鉴别诊断有利。
【关键词】卵巢囊腺瘤；CT；MRI；影像特点卵巢囊腺瘤为临床常见型卵巢上皮组织肿瘤，有多种病理类型，即混合性、粘液性与浆液性，依据生物学行为，可划分为恶性、交界性与良性，其中，最为多见的是良性浆液性囊腺瘤[1]。
本次研究针对本院收治的50例卵巢囊腺瘤患者，分别行电子计算机断层扫描（CT）与磁共振成像（MRI）检查，比较诊断价值与影像学表现，现报道如下。
1.资料与方法1.1研究对象选取本院于2016年7月-2017年7月收治的50例卵巢囊腺瘤患者的术前影像资料，11例MRI检查，52例CT，年龄区间16~88岁，平均（50.33±1.15）岁，临床症状：28例腹痛、腹胀，7例月经紊乱，7例腹部膨隆，10例无临床症状；术后病理类型：11例囊腺癌，1例交界性浆液性囊腺瘤，12例黏液性囊腺瘤，26例浆液性囊腺瘤。
CT和 MRI诊断卵巢囊腺瘤的临床分析摘要：目的：分析在卵巢囊腺瘤诊断工作中应用CT和MRI所取得的临床价值。
方法：在2018年12月~2020年12月期间南充市中心医院收治的卵巢囊腺瘤患者中随机选取80例作为研究对象并将其分为两组，分别给予CT与MRI检查，对患者诊疗情况进行对比分析。
结果：两组患者的诊断准确率无统计价值（P>0.05）。
通过影像学结果可以看出，粘液性囊腺瘤患者囊壁的钙化相对较少，且存在壁结节，患者以多房较为常见；浆液性囊腺瘤囊壁通常存在钙化问题，且壁结节情况的发生率偏低，患者以单房较为常见；相比之下，囊腺癌的体积相对较小，且患者多数为囊实性病变。
在临床过程中，通过对相关影像学特征进行分析与归纳，有利于帮助医疗人员进一步实现对于患者健康的合理认识。
结论：在卵巢囊腺瘤诊断工作中，CT与MRI均可以实现对于患者疾病情况的合理展示，因此，医疗人员应依据患者实际情况进行检查方法的合理选择。
关键词：卵巢囊腺瘤；检查方法；CT；MRI；临床价值Clinical analysis of CT and MRI that diagnosed the adenoma of ovarian cystsZhang Shengma's articleThe Second Clinical Hospital of North Sichuan Medical College of Sichuan Nanchong 637000Abstract: Objective: To analyze the clinical value of CT and MRIin the diagnosis of ovarian cystic adenoma.Methods: In December2020,80 patients with ovarian cystic adenoma admitted to Nanchong Central Hospital, ~ 2010 were randomly selected and pided into two groups for CT and MRI respectively to compare the diagnosis and treatment.Results: The diagnostic accuracy was not significant (P>0.05).The imaging results, the calcification of mucocous cysticadenoma is relatively small and wall nodules, which is common in patients; serous cystic adenoma calcification, and the incidence ofwall nodules is low, and single compartment is more common in patients; by contrast, cystic adenocarcinoma is relatively small, and most patients are cystic lesions.In the clinical process, the analysis and induction of relevant imaging characteristics is conducive to helping medical personnel to further realize a reasonable understanding of the health of patients.Conclusion: In the diagnosis of ovarian cystic adenoma, CT and MRI can realize a reasonable display of patients' disease. Therefore, therefore, medical personnel should make a reasonable choice of examination method according to their actual condition.Key words: ovarian cystic adenoma; examination method; CT;MRI; clinical value研究人员指出，作为妇科疾病之一，卵巢囊腺癌往往可对女性群体的健康造成不良影响。
