山东医药
山東醫藥
산동의약
SHANDONG MEDICAL JOURNAL
2014年
14期
15-17
,共3页
祝英杰%杨宏英%严志凌%魏向群%孙华
祝英傑%楊宏英%嚴誌凌%魏嚮群%孫華
축영걸%양굉영%엄지릉%위향군%손화
卵巢肿瘤%18 F-FDG%PET-CT%淋巴结转移
卵巢腫瘤%18 F-FDG%PET-CT%淋巴結轉移
란소종류%18 F-FDG%PET-CT%림파결전이
ovarian neoplasms%18 F-FDG%positron emission tomography and computed tomography%lymph node me-tastasis
目的:探讨PET-CT显像对卵巢恶性肿瘤淋巴结转移的诊断价值。方法对52例卵巢恶性肿瘤患者(初治39例、复发13例)于手术前采用PET-CT检测预测腹膜后淋巴结转移状况及位置。初治患者行卵巢癌肿瘤细胞减灭术同时行腹膜后淋巴结清扫术,复发患者行病灶及区域淋巴结清扫术。将术前PET-CT检测结果与术后淋巴结病理检查结果进行对照,计算PET-CT检测诊断卵巢恶性肿瘤淋巴结转移的敏感性、特异性、准确性、阳性预测值和阴性预测值。结果 PET-CT显像诊断腹膜后淋巴结转移的敏感性、特异性、准确性、阳性预测值和阴性预测值分别为96.30%(26/27)、92.00%(23/25)、94.23%(49/52)、92.86%(26/28)和95.83%(23/24);诊断腹主动脉旁淋巴结转移的敏感性、特异性、准确性、阳性预测值和阴性预测值分别为96.30%(26/27)、100.%(25/25)、98.08%(51/52)、100%(26/26)和96.15%(25/26);诊断盆腔淋巴结转移的敏感性、特异性、准确性、阳性预测值和阴性预测值分别为90.91%(10/11)、95.12%(39/41)、94.23%(49/52)、83.33%(10/12)和97.50%(39/40)。结论 PET-CT在卵巢恶性肿瘤淋巴结转移诊断方面有较高的临床价值。
目的:探討PET-CT顯像對卵巢噁性腫瘤淋巴結轉移的診斷價值。方法對52例卵巢噁性腫瘤患者(初治39例、複髮13例)于手術前採用PET-CT檢測預測腹膜後淋巴結轉移狀況及位置。初治患者行卵巢癌腫瘤細胞減滅術同時行腹膜後淋巴結清掃術,複髮患者行病竈及區域淋巴結清掃術。將術前PET-CT檢測結果與術後淋巴結病理檢查結果進行對照,計算PET-CT檢測診斷卵巢噁性腫瘤淋巴結轉移的敏感性、特異性、準確性、暘性預測值和陰性預測值。結果 PET-CT顯像診斷腹膜後淋巴結轉移的敏感性、特異性、準確性、暘性預測值和陰性預測值分彆為96.30%(26/27)、92.00%(23/25)、94.23%(49/52)、92.86%(26/28)和95.83%(23/24);診斷腹主動脈徬淋巴結轉移的敏感性、特異性、準確性、暘性預測值和陰性預測值分彆為96.30%(26/27)、100.%(25/25)、98.08%(51/52)、100%(26/26)和96.15%(25/26);診斷盆腔淋巴結轉移的敏感性、特異性、準確性、暘性預測值和陰性預測值分彆為90.91%(10/11)、95.12%(39/41)、94.23%(49/52)、83.33%(10/12)和97.50%(39/40)。結論 PET-CT在卵巢噁性腫瘤淋巴結轉移診斷方麵有較高的臨床價值。
목적:탐토PET-CT현상대란소악성종류림파결전이적진단개치。방법대52례란소악성종류환자(초치39례、복발13례)우수술전채용PET-CT검측예측복막후림파결전이상황급위치。초치환자행란소암종류세포감멸술동시행복막후림파결청소술,복발환자행병조급구역림파결청소술。장술전PET-CT검측결과여술후림파결병리검사결과진행대조,계산PET-CT검측진단란소악성종류림파결전이적민감성、특이성、준학성、양성예측치화음성예측치。결과 PET-CT현상진단복막후림파결전이적민감성、특이성、준학성、양성예측치화음성예측치분별위96.30%(26/27)、92.00%(23/25)、94.23%(49/52)、92.86%(26/28)화95.83%(23/24);진단복주동맥방림파결전이적민감성、특이성、준학성、양성예측치화음성예측치분별위96.30%(26/27)、100.%(25/25)、98.08%(51/52)、100%(26/26)화96.15%(25/26);진단분강림파결전이적민감성、특이성、준학성、양성예측치화음성예측치분별위90.91%(10/11)、95.12%(39/41)、94.23%(49/52)、83.33%(10/12)화97.50%(39/40)。결론 PET-CT재란소악성종류림파결전이진단방면유교고적림상개치。
Objective To investigate the diagnostic value of positron emission tomography and computed tomography ( PET-CT) in lymph node metastasis of malignant ovarian tumor .Methods Totally fifty-two patients with malignant ovari-an cancer were collected , including 39 primary and 13 reoccurred patients .PET-CT was performed to forecast the status and position of retroperitoneal lymph node before surgery .Cytoreductive surgery combined with retroperitoneal lymph node dissection was done on the primary patients , lesions and regional lymph node dissection was done on the reoccurred pa-tients.The results of PET-CT detection and pathological examination of lymph node before and after surgery were com -pared, and then the sensitivity, specificity, accuracy, positive predictive value (PPV), and negative predictive value ( NPV) of PET-CT detection in lymph node metastasis of malignant ovarian tumor were calculated .Results The sensitivi-ty, specificity, accuracy, PPV, and NPV of PET-CT in diagnosing retroperitoneal lymph node metastasis were 96.30%(26/27), 92.00%(23/25), 94.23%(49/52), 92.86%(26/28) and 95.83%(23/24), respectively.The sensitivi-ty, specificity, accuracy, PPV, and NPV of PET-CT in diagnosing para-aortic lymph node metastasis were 96.30%(26/27), 100.00%(25/25), 98.08%(51/52), 100.00%(26/26) and 96.15%(25/26), respectively.The sensitivity, specificity, accuracy, PPV, and NPV of PET-CT in diagnosing pelvic lymph node metastasis were 90.91% (10/11), 95.12%(39/41), 94.23%(49/52), 83.33%(10/12) and 97.50%(39/40), respectively.Conclusions PET-CT detection of lymph node metastasis in malignant ovarian tumor shows an accurate diagnostic value .