CAJ | 학술논문

目的：探讨以囊性结构为主的卵巢肿瘤声像图表现与病理分型的关系。方法：回顾性分析71名经病理证实的以囊性结构为主的卵巢上皮性肿瘤患者，按肿瘤分化程度分为良性组（A组）、交界性组（B组）、Ⅰ期癌组（C组），按肿瘤组织来源分为浆液性组（Ⅰ组）、黏液性组（Ⅱ组）、混合性组（Ⅲ组），分析声像图，比较各组间肿瘤直径、隔数目、隔厚度、乳头面积等参数。结果：A、B、C各组测量值比较：肿瘤直径：A、B、C组间差异无统计学意义；隔厚度：A组＜B组＜C组（q＝4．526，P＜0．05；q＝4．301，P＜0．05）；乳头总面积：A组＜B组＜C组（q＝6．761，P＜0．01；q＝4．348， P＜0．05）。Ⅰ、Ⅱ、Ⅲ各组测量值比较：肿瘤直径：Ⅱ组＞Ⅰ组（q＝4．031，P＜0．05），Ⅲ与Ⅰ、Ⅱ两组组间差异无统计学意义；隔厚度：Ⅰ、Ⅱ、Ⅲ组间差异均无统计学意义。乳头面积：Ⅰ组＞Ⅲ组＞Ⅱ组（q＝4．263，P＜0．05；q＝4．210， P＜0．05）。以隔数为3为分界标准，Ⅱ组＞Ⅲ组＞Ⅰ组（P＜0．05）。乳头面积以300mm2为分界标准，B组、C组＞ A组（P＜0．05），B组、C组无统计学差异。结论：观察以囊性结构为主的卵巢肿瘤内部结构回声特点对判断其良恶性及病理分型有帮助。
목적：탐토이낭성결구위주적란소종류성상도표현여병리분형적관계。방법：회고성분석71명경병리증실적이낭성결구위주적란소상피성종류환자，안종류분화정도분위량성조（A조）、교계성조（B조）、Ⅰ기암조（C조），안종류조직래원분위장액성조（Ⅰ조）、점액성조（Ⅱ조）、혼합성조（Ⅲ조），분석성상도，비교각조간종류직경、격수목、격후도、유두면적등삼수。결과：A、B、C각조측량치비교：종류직경：A、B、C조간차이무통계학의의；격후도：A조＜B조＜C조（q＝4．526，P＜0．05；q＝4．301，P＜0．05）；유두총면적：A조＜B조＜C조（q＝6．761，P＜0．01；q＝4．348， P＜0．05）。Ⅰ、Ⅱ、Ⅲ각조측량치비교：종류직경：Ⅱ조＞Ⅰ조（q＝4．031，P＜0．05），Ⅲ여Ⅰ、Ⅱ량조조간차이무통계학의의；격후도：Ⅰ、Ⅱ、Ⅲ조간차이균무통계학의의。유두면적：Ⅰ조＞Ⅲ조＞Ⅱ조（q＝4．263，P＜0．05；q＝4．210， P＜0．05）。이격수위3위분계표준，Ⅱ조＞Ⅲ조＞Ⅰ조（P＜0．05）。유두면적이300mm2위분계표준，B조、C조＞ A조（P＜0．05），B조、C조무통계학차이。결론：관찰이낭성결구위주적란소종류내부결구회성특점대판단기량악성급병리분형유방조。
Objective :To explore the correlation between the ultrasonographic imaging features and pathological types in ovarian tumors consisting cystic structure .Methods :71 pathologically confirmed cases of ovarian tumors mainly con-sisting of cystic structure were divided by the degree of differentiation into benign group (group A) ,borderline group (group B) ,and phaseⅠcancer group (group C) .Meanwhile they were grouped by the source tissues into serous group (groupⅠ) ,mucinous group (group Ⅱ ) ,mixed group (group Ⅲ ) .Analyze two-dimensional and three-dimensional ul-trasonographic imaging ,compared between groups of parameters such as the tumor diameter ,the number and thickness of septa ,and area of papillae .Results:The results of ultrasound measurement of 3 groups of A ,B ,C :Tumor diameter :there were no difference between group A ,B and C .Thickness of septa :group A<group B<group C(q=4 .526 ,P<0.05 ,q=4 .301 ,P<0 .05) .Total area of papillae:group A < group B<group C (q=6 .761 ,P<0 .01 ;q=4 .348 ,P<0 .05);the results of ultrasound measurement of 3 groups of Ⅰ ,Ⅱ ,Ⅲ :Tumor diameter :groupⅡ >groupⅠ (q=4.031 , P<0 .05) ,groupⅢ between group Ⅰand groupⅡshowed no significant difference .Thickness of septa between groupⅠ ,groupⅡand group Ⅲ showed no difference .Total area of papillae :groupⅠ > group Ⅲ > group Ⅱ (q=4 .263 ,P<0.05 ;q=4 .210 ,P< 0 .05) .The septa number with 3 as the dividing standard ,groupⅡ > groupⅢ > groupⅠ (P<0.05) .The nipple area with 300mm2 as the dividing standard ,group B ,group C>group A(P<0 .05) ,group B ,group C showed no significant difference .Conclusion:Observation of the ultrasonographic imaging features of internal structure of ovarian tumors consisting mainly of cystic structure is helpful for assessment of the pathological types of the tumor .