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1、·380·實(shí)用醫(yī)學(xué)影像雜志2009年第10卷第6期JPMI，2009，Vol.10,No.6·論著·卵巢囊腺瘤與囊腺癌的CT診斷張水平，王艷玲，杜國忠（江蘇省揚(yáng)中市人民醫(yī)院影像科，江蘇揚(yáng)中212200）【摘要】目的探討CT對卵巢囊腺瘤與囊腺癌的診斷價(jià)值。方法對32例經(jīng)手術(shù)病理證實(shí)的卵巢良惡性腫瘤患者包括良性卵巢囊腺瘤10例，交界性卵巢囊腺瘤4例以及惡性卵巢囊腺癌18例均經(jīng)腹部CT掃描，對所有患者的CT表現(xiàn)進(jìn)行回顧性分析。結(jié)果10例11個(gè)卵巢囊腺瘤中漿液性囊腺瘤7個(gè)，其中，單房5個(gè)，密度均勻；黏液性囊腺瘤4個(gè)，多房為主，密度不均，內(nèi)見大小不等的子囊。
2、交界性（4個(gè)）和惡性（28個(gè)）卵巢腫瘤32個(gè)，囊壁及分隔厚薄不均，不同程度強(qiáng)化，多有壁結(jié)節(jié)或腫塊成分。結(jié)論卵巢囊腺瘤常表現(xiàn)為Ⅰ型，囊腺癌以Ⅱ型常見。CT能很好顯示卵巢腫瘤的形態(tài)特征，在鑒別卵巢囊腺腫瘤良惡性方面有一定價(jià)值?！娟P(guān)鍵詞】卵巢腫瘤；囊腺瘤；囊腺癌；體層攝影術(shù)，X線計(jì)算機(jī)【中圖分類號】R814.42;R737.31【文獻(xiàn)標(biāo)識碼】A【文章編號】1009-6817（2009）06-0380-03CTdiagnosisofovariancystadenomaandcystadenocarcinomaZhangShuiping,WangYanlin
3、g,DuGuozhong.DepartmentofRadiolo－gy,JiangsuProvincialYangzhongMunicipalPeople'sHospital,Yangzhongshi212200,Chian【Abstract】ObjectiveTodiscussthevalueofCTfordiagnosingovariancystadenomaandcystadenocarcinoma.MethodsThirty-twopatientswithsurgicallyandpathologicallyprovedovariancys
4、tictumorswhichcomprised10cystadenomas,4borderlinetumorsand18cys－tadenocarcinomasunderwentCTscansoftheabdomenbeforeandaftercontrast-enhancement.CTfindingsofallthepatientswereanalyzedretrospectively.ResultsCTdemonstratedthattherewere11cystadenomas(7serousand4mucinous),4borderlin
5、etumorsand28cystadeno－carcinomasin43ovariantumorsof32cases.Sevenserouscystadenomasof6casesincluding5unilocularthoseappearedashomogeneousdensity,whilefourmucinouscystadenomasappearedmainlymultilocularshapewithnonhomogeneousdensityandintracysticsecondarycystswithvariedsize.Fourb
6、orderlinetumorsandtwenty-eightcystadenocarcinomasappearedasnonhomogeneouslythickingcysticwallandseptum,nonhomogeneousenhancement,andthemostassociatedwithintramuralnodulesorsolidparts.ConclusionOvariancystadeno－maoftenappearastypeⅠ,whileovariancystadenocarcinomaoftenappearastyp
7、eⅡ.CTcanclearlyvisualizethemorphologicfeaturesoftheovariancystictumorsandthereforeithasimportantvalueindifferentiatingtumoralbenignancyfrommalignancy.【Keywords】Ovariantumor;Cystadenoma;Cystadenocarcinoma;Tomography,X-raycomputed卵巢原發(fā)腫瘤有50%～70%來源于卵巢體腔上CT/Aura行全腹平掃和增強(qiáng)掃描，螺距1.0，層厚皮
8、，其中以卵巢囊腺瘤與囊腺癌最常見。筆者搜集7mm。造影劑為碘海醇[碘的質(zhì)量濃度：P（I）=了32例43個(gè)卵巢囊腺腫瘤的CT
