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目的:分析CT扫描对诊断原发性恶性囊实性肿瘤的准确性,总结其临床价值。方法:将我院符合时间段2014年3月~2015年5月要求,住院部所收治的疑似卵巢原发恶性囊实性肿瘤患者共计40例作为研究对象,对所有患者的临床资料展开回顾分析。所有患者均应用PHILIPS Brilliance 16双层螺旋CT仪进行平扫与增强扫描。以手术病理证实结果为金标准,分析CT诊断的敏感性与特异性。同时对比手术病理证实结果与CT检查结果对各类病灶的检查情况差异。手术病理证实与CT诊断对各类病灶的检出情况对比没有明显差异,不具有统计学意义(P>0.05)。结果:以手术病理证实结果为金标准,40例疑似卵巢原发恶性囊实性肿瘤患者中,共38例患者检出阳性,2例患者检出阴性。与金标准对比,CT诊断的敏感性为94.74%。结论:应用CT对卵巢原发性恶性囊实性肿瘤进行诊断具有较高的敏感性,对各类病灶的检出符合性高,有临床推广应用的价值。
Objective: To analyze the accuracy of CT scan in diagnosing primary malignant solid tumors and summarize its clinical value. Methods: Our hospital in line with the time period from March 2014 to May 2015 requirements, admitted to the department of inpatients suspected of ovarian solid malignant tumors in a total of 40 cases as the object of study, all patients clinical data were analyzed retrospectively . All patients underwent both plain and enhanced scanning using the PHILIPS Brilliance 16 dual-slice CT scanner. Surgical pathology confirmed the results as the gold standard, the sensitivity and specificity of CT diagnosis. At the same time contrast the results of surgical pathology and CT examination of the results of the inspection of various lesions differences. There was no significant difference between the pathological examination and CT diagnosis on the detection of various lesions, which was not statistically significant (P> 0.05). Results: The gold standard was confirmed by the surgical pathology. Of the 40 patients with suspected primary malignant ovarian cystadenocarcinoma, 38 were positive and 2 were negative. Compared with the gold standard, the sensitivity of CT diagnosis is 94.74%. Conclusion: The diagnosis of ovarian primary malignant solid cyst with CT is highly sensitive. The detection of all kinds of lesions is of high compliance and has the value of clinical popularization and application.