CAJ | 학술논문

目的：分析卵巢囊性肿瘤的影像学特点，为临床提供可靠的诊断及治疗依据。方法回顾性分析45例经手术及病理证实的卵巢囊性肿瘤的C T或M RI影像资料。纳入标准为病灶囊性成分所占比例大于70％，肿瘤最大径超过5 cm。所有病例均行平扫及增强C T或M RI检查。结果45例中包括卵巢囊腺瘤16例、囊腺癌6例、腺癌5例、腺纤维瘤1例、畸胎瘤2例、囊肿4例、子宫内膜异位囊肿2例、输卵管系膜囊肿2例及输卵管卵巢囊肿7例。结论影像学检查对卵巢囊性肿瘤的定位、定性诊断和鉴别诊断具有一定的临床意义，明确诊断仍需要结合术后病理结果。
목적：분석란소낭성종류적영상학특점，위림상제공가고적진단급치료의거。방법회고성분석45례경수술급병리증실적란소낭성종류적C T혹M RI영상자료。납입표준위병조낭성성분소점비례대우70％，종류최대경초과5 cm。소유병례균행평소급증강C T혹M RI검사。결과45례중포괄란소낭선류16례、낭선암6례、선암5례、선섬유류1례、기태류2례、낭종4례、자궁내막이위낭종2례、수란관계막낭종2례급수란관란소낭종7례。결론영상학검사대란소낭성종류적정위、정성진단화감별진단구유일정적림상의의，명학진단잉수요결합술후병리결과。
Objective To study the image features of ovarian cystic tumors and to provide reliable information for clinical diagnosis and treatment .Methods Data of computed tomography (CT ) or magnetic resonance imaging (MRI) examination of 45 cases with ovarian cystic tumors ,proven by surgery and pathology ,were analyzed retro-spectively .The inclusion criteria included that the proportion of cystic lesion was greater than 70% of the whole tumor ,the diameter of the tumor was larger than 5 cm .All cases underwent unenhanced and contrast-enhanced CT or MRI examination .Results Among all of the 45 cases ,there were 16 cases with cystadenoma ,6 cases with cystade-nocarcinoma ,5 cases with adenocarcinoma ,1 case with adenofibroma ,2 cases with teratoma ,4 cases with cysts ,2 ca-ses with endometriosis ,2 cases with mesosalpinx cysts ,and 7 cases with tubal ovarian cysts .Conclusion Imaging ex-amination could play an important role for the localization ,diagnosis ,differential diagnosis of ovarian cystic tumors , while the definite diagnosis might require combination with postoperative pathological detection .