多层螺旋CT增强扫描对交界性与侵袭性卵巢肿瘤的诊断价值

发布时间：2018-04-08 21:08

本文选题：卵巢肿瘤　切入点：体层摄影术　出处：《中国医学影像学杂志》2017年06期

【摘要】：目的探讨多层螺旋CT(MSCT)增强扫描诊断交界性与侵袭性卵巢肿瘤的价值,为交界性与侵袭性卵巢肿瘤的临床治疗提供影像学依据。资料与方法回顾性分析2012年10月-2016年10月锦州医科大学附属第一医院经病理证实的101例交界性与侵袭性卵巢肿瘤患者术前全腹MSCT增强扫描影像学、临床及病理资料,观察MSCT表现并建立MSCT诊断交界性与侵袭性卵巢肿瘤的预测模型。结果交界性卵巢肿瘤组与侵袭性卵巢肿瘤组患者的发病年龄、绝经状态及两组肿瘤实性成分、最大径、分隔与边界比较,差异均有统计学意义(P0.05);多因素Logistic回归分析得到包括肿瘤大小、实性成分及分隔在内的变量建立MSCT诊断交界性与侵袭性卵巢肿瘤的预测模型(OR1,P0.05)。该模型对于绝经前患者预测交界性肿瘤的敏感度和特异度分别为81.3%(95%CI:0.622~1.000)、85.7%(95%CI:0.741~0.973);对于绝经后患者的敏感度和特异度分别为92.1%(95%CI:0.835~1.000)、91.7%(95%CI:0.761~1.000)。结论 MSCT增强扫描有助于交界性与侵袭性卵巢肿瘤的鉴别诊断,对于两者的临床治疗及预后评估具有重要意义。
[Abstract]:Objective to evaluate the value of multislice spiral CT enhanced MSCT in the diagnosis of borderline and invasive ovarian tumors and to provide imaging evidence for the clinical treatment of borderline and invasive ovarian tumors.Materials and methods Clinical and pathological data of 101 patients with borderline and invasive ovarian tumors confirmed by pathology in the first affiliated Hospital of Jinzhou Medical University from October 2012 to October 2016 were retrospectively analyzed.MSCT findings were observed and a predictive model of MSCT for diagnosis of borderline and invasive ovarian tumors was established.Results the age of onset, menopausal status and tumor solid composition, maximum diameter, separation and boundary were compared between borderline ovarian tumor group and invasive ovarian tumor group.The multivariate Logistic regression analysis showed that the variables including tumor size, solid components and septum were used to establish a predictive model for the diagnosis of borderline and invasive ovarian tumors by MSCT.Conclusion enhanced MSCT scan is helpful to the differential diagnosis of borderline and invasive ovarian tumors and is of great significance in clinical treatment and prognosis evaluation.
【作者单位】：锦州医科大学附属第一医院放射科;中国医科大学附属第一医院放射科;
【分类号】：R730.44;R737.31

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