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目的探讨多层螺旋CT(MSCT)腹腔灌注造影术在诊断卵巢癌腹膜转移中的应用价值。方法无腹水或少量腹水卵巢癌患者59例,将其随机分为两组,试验组24例患者采用MSCT腹腔灌注造影术,对照组35例患者采用腹部常规MSCT平扫,比较两组患者腹膜转移结节发现率。结果对照组患者发现腹膜结节12例,阳性率为34.3%,试验组患者发现腹膜结节20例,阳性率为83.3%,两组比较差异有统计学意义(P<0.05)。结论少量腹水或无腹水的卵巢癌患者采用MSCT腹腔灌注造影术腹膜转移结节发现率明显高于普通CT平扫。
Objective To investigate the value of multi-slice spiral CT (MSCT) peritoneal perfusion in the diagnosis of peritoneal metastasis of ovarian cancer. Methods Fifty-nine patients with ascites or a small amount of ascites and ovarian cancer were randomly divided into two groups. Twenty-four patients in the experimental group were treated by MSCT abdominal perfusion contrast imaging. 35 patients in the control group were examined by conventional MSCT. The peritoneal metastasis Nodule discovery rate. Results In the control group, 12 cases of peritoneal nodules were found, the positive rate was 34.3%. In the test group, 20 cases of peritoneal nodules were found, the positive rate was 83.3%. There was significant difference between the two groups (P <0.05). Conclusion The detection rate of peritoneal metastasis nodules using MSCT peritoneal perfusion imaging in patients with small amount of ascites or ascites is obviously higher than that of plain CT.