摘要
目的 分析超声、CT单独及其 联合检测在卵巢原发性恶性肿瘤临床分 期中的应用价值。方法 以我院2013年2 月-2015年2月收治的80例原发性卵巢恶性 肿瘤患者为研究对象,均行超声、CT影像 学检查,与手术病理分期结果对照,分析 超声、CT单独及其联合对恶性肿瘤临床分 期诊断准确度。结果 手术病理分期:I期 21例,II期17例,III期37例,IV期5例, 以此为对照标准,超声、CT及其联合诊断 卵巢原发性恶性肿瘤临床分期准确率分别 为72.5%、82.5%、91.3%。超声+CT诊断准 确率明显高于超声检查(P<0.01)。结论 超声联合CT诊断卵巢原发性恶性肿瘤临床 分期准确率最高,其次是CT,临床建议两 者联合检测。
Objective To analyze the application value of ultrasound, CT alone and the combined detection in the clinical staging of ovarian primary malignant tumors. Methods 80 patients with primary ovarian malignant tumors treated in our hospital from February 2013 to February 2015 were treated as the research objects. All of them underwent ultrasound and CT imaging examination. Compared with the results of surgical and pathological staging, the accuracy rates of ultrasound and CT alone and their combination in the diagnosis of the clinical staging of malignant tumors were analyzed. Results Surgical pathological staging showed that there were stage I 21cases, stage II 17 cases, stage III 37 cases and stage IV 5 cases. Taking this as the control standard, the accuracy rates of ultrasound, CT alone and their combination in the diagnosis of clinical staging of ovarian primary malignant tumors were 72.5%, 82.5% and 91.3% respectively. The diagnostic accuracy rate of ultrasound combined with CT was significantly higher than that of ultrasound (P<0.01). Conclusion The accuracy rate of ultrasound combined with CT in the diagnosis of clinical staging of ovarian primary malignant tumors was the highest, followed by CT and in clinic, the combined detection is recommended.
【关键词】超声;CT;卵巢原发性恶性肿 瘤;临床分期
【中图分类号】R445;R737.31
【文献标识码】A
【DOI】 10.3969/j.issn.1672- 5131.2016.12.036
前言
据统计,卵巢原发性恶性肿瘤发病率、病死率在女性肿瘤中分别 占据第二、第一,由于卵巢位置较深,大部分早期症状无特异性,临 床就诊时多处于晚期,5年存活率不足40%[1]。为此早期正确诊断出卵 巢肿瘤,及时干预对降低其病死率具有十分重要意义。目前临床诊断 卵巢原发性恶性肿瘤以影像学检查为主,包括超声、CT、MRI等,其中 超声无创、操作简单、重复性强,临床常用[2];CT具有快速扫描、后 处理技术强大特点,在卵巢恶性肿瘤临床分期诊断中有重要作用;MRI 虽然在肿瘤诊断上更有优势,但其价格较高。临床表明肿瘤诊断、治 疗方案制定及预后评估与肿瘤临床分期密切相关,基于此,本研究通 过比较超声、CT单独及其联合诊断在卵巢原发性恶性肿瘤临床分期中 的应用效果,以为其临床诊治提供重要依据。报告如下。
中国CT和MRI杂志
第14卷, 第 12 期
2016年12月
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