CAJ | 학술논문

目的：探讨螺旋C T在原发性腹膜后占位性病变鉴别诊断中的临床价值。方法：回顾性分析2005年5月-2011年5月我院46例原发性腹膜后占位性肿瘤患者的临床资料，探讨螺旋C T 在该组肿瘤患者中的诊断价值。结果：（1）46例原发性腹膜后占位性肿瘤患者中，良性肿瘤18例，恶性肿瘤28例。其中间叶组织来源26例，10例为良性，16例为恶性；神经组织来源13例，5例为良性，8例为恶性；淋巴组织来源5例，2例为良性，3例为恶性；生殖细胞来源1例，为良性；不明来源1例，为恶性。（2）螺旋C T准确定位38例，定位准确率为82．6％；定性正确29例，正确率为63．0％。结论：将螺旋C T应用于原发性腹膜后占位性肿瘤的鉴别及诊断之中，在定位和定性的诊断与鉴别诊断中具有一定的优势。
목적：탐토라선C T재원발성복막후점위성병변감별진단중적림상개치。방법：회고성분석2005년5월-2011년5월아원46례원발성복막후점위성종류환자적림상자료，탐토라선C T 재해조종류환자중적진단개치。결과：（1）46례원발성복막후점위성종류환자중，량성종류18례，악성종류28례。기중간협조직래원26례，10례위량성，16례위악성；신경조직래원13례，5례위량성，8례위악성；림파조직래원5례，2례위량성，3례위악성；생식세포래원1례，위량성；불명래원1례，위악성。（2）라선C T준학정위38례，정위준학솔위82．6％；정성정학29례，정학솔위63．0％。결론：장라선C T응용우원발성복막후점위성종류적감별급진단지중，재정위화정성적진단여감별진단중구유일정적우세。
Objective :To investigate the diagnosis and clinical value of the spiral CT in the role of primary retroperito-neal lesion .Methods :46 cases of primary retroperitoneal space-occupying tumor patients were retrospectively analyzed during May 2005 to May 2011 to explore the value of spiral CT in the group of patients with tumor diagnosis .Results:(1) In the 46 cases of patients with primary retroperitoneal space-occupying tumor ,there were 18 cases of a benign tumor ,and there were 28 cases of malignant tumors .In these cases ,cases of source of mesenchymal tissue were 26 ,10 cases were benign ,16 cases were malignant ;nerve tissue source of 13 cases ,5 cases of benign ,eight cases were malig-nant ;lymphoid tissue sources of 5 cases ,2 cases of benign ,3 cases were malignant ;germ cell sources 1 case were be-nign ;unknown source cases as malignant .(2) The ratio of accurate positioning of spiral CT was 82 .6% ;29 cases quali-tatively correct ,the correct rate of 63 .0% .Conclusion:Spiral CT used the primary retroperitoneal space-occupying tumor identification and diagnosis ,will be able to accurately locate and qualitative identification ,diagnosis of cancer .