CAJ | 학술논문

目的：进一步探讨18氟-脱氧葡萄糖正电子发射型计算机断层显像（18F-FDG PET／CT）联合盆腔增强CT诊断卵巢癌患者的临床价值。方法回顾性分析2013年9月至2014年12月晋煤医院临床疑似卵巢癌而行18 F-FDG PET／CT扫描的患者30例，PET／CT显像后同机行盆腔增强CT显像。分别计算18 F-FDG PET／CT及盆腔增强CT诊断卵巢癌的灵敏度、特异度、阳性预测值及阴性预测值，比较两种检查方法的准确性。结果18 F-FDG PET／CT联合盆腔增强CT诊断卵巢癌患者的灵敏度为92.9％，特异度为50％，较单独应用PET／CT或盆腔增强CT诊断卵巢癌的灵敏度及特异度高；18 F-FDG PET／CT比盆腔增强CT诊断卵巢癌患者的灵敏度高，但两种检查方法比较差异未见统计学意义（ P＞0.05）。结论18 F-FDG PET／CT联合盆腔增强CT诊断卵巢癌患者的灵敏度高，临床分期更准确。
목적：진일보탐토18불-탈양포도당정전자발사형계산궤단층현상（18F-FDG PET／CT）연합분강증강CT진단란소암환자적림상개치。방법회고성분석2013년9월지2014년12월진매의원림상의사란소암이행18 F-FDG PET／CT소묘적환자30례，PET／CT현상후동궤행분강증강CT현상。분별계산18 F-FDG PET／CT급분강증강CT진단란소암적령민도、특이도、양성예측치급음성예측치，비교량충검사방법적준학성。결과18 F-FDG PET／CT연합분강증강CT진단란소암환자적령민도위92.9％，특이도위50％，교단독응용PET／CT혹분강증강CT진단란소암적령민도급특이도고；18 F-FDG PET／CT비분강증강CT진단란소암환자적령민도고，단량충검사방법비교차이미견통계학의의（ P＞0.05）。결론18 F-FDG PET／CT연합분강증강CT진단란소암환자적령민도고，림상분기경준학。
Objective To investigate the value of 18 F-FDG PET/CT combined with enhanced CT in the diagnosis of ovarian cancer.Methods To retrospectively analyze 30 patients with suspected ovarian cancer with 18 F-FDG PET/CT scans in Jinmei hospital from September 2013 to December 2014,after that they were detected by enhanced CT .To compare the accuracy of the two methods.Results The sensitivity of 18 F-FDG PET/CT and enhanced CT depicted ovarian cancer was 92.9%and the specificity was 50%, which were higher than the application of PET/CT alone or enhanced CT in the diagnosis of ovarian cancer.The sensitivity had no significant difference between the18 F-FDG PET/CT group and enhanced CT group(P>0.05).Conclusions The sensitivity of 18F-FDG PET/CT combined with enhanced CT depict ovarian canc-er is higher,the clinical staging is more accurate.