医学临床研究
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医学临床研究  2019, Vol. 36 Issue (4): 699-701    DOI: 10.3969/j.issn.1671-7171.2019.04.026
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基于多平面重组CT卵巢静脉追踪对卵巢源肿物的诊断价值
杨林林a, 魏明华a, 张书宜a, 徐艳琦a, 崔社娟b
青岛市海慈医疗集团影像科,山东 青岛 266000
Diagnostic Value of Ovarian Vein Tracking Based on Multiplanar Reconstituted CT in Ovarian Origin Tumors
YANG Lin-lin, WEI Ming-hua, ZHANG Shu-yi, et al
Imaging Department,Hiser Medical Center of Qingdao,Qingdao 266000
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摘要 【目的】探究基于多平面重组CT卵巢静脉追踪对识别卵巢源肿物的诊断价值。【方法】选择2015年3月至2017年3月本院进行腹盆部CT检查并接受手术治疗的116例女性盆腔肿物患者的临床资料,采用多平面重组的CT卵巢静脉追踪判断盆腔肿物是否为卵巢来源。将手术病理结果作为金标准,分析CT卵巢静脉追踪判断卵巢源肿物的敏感性、特异性、阳性预测值以及阴性预测值。【结果】本组116例患者盆腔肿物141个,其中108个卵巢源肿物,33个非卵巢源肿物。108个卵巢源肿物中104个经CT识别为同侧卵巢源肿物,3个单侧卵巢源肿物识别为双侧,1个识别为非卵巢源肿物;33个非卵巢源肿物中26个经CT识别为非卵巢源肿物,7个识别为同侧卵巢源肿物。CT识别同侧卵巢源肿物敏感性为96.3%,特异性为78.8%,准确性为92.2%,阳性预测值为93.7%,阴性预测值为86.7%。【结论】基于多平面重组的CT卵巢静脉追踪识别卵巢源肿物操作简便、准确性较高、可重复性较强,具有重要的临床应用价值。
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关键词 卵巢囊肿/诊断体层摄影术X线计算机    
Abstract【Objective】To explore the diagnostic value of ovarian vein tracking based on multiplanar reconstructed CT in identifying ovarian tumors. 【Methods】From March 2015 to March 2017, 116 cases of female pelvic tumors were examined by CT and treated surgically in our hospital. Multiplanar reconstructed CT ovarian vein tracing was used to determine whether the pelvic tumors were ovarian sources. The sensitivity, specificity, positive predictive value and negative predictive value of CT ovarian vein tracing were analyzed. 【Results】There were 141 pelvic tumors in 116 patients, 108 ovarian tumors and 33 non-ovarian tumors. 104 of 108 ovarian tumors were identified as ipsilateral ovarian tumors by CT, 3 unilateral ovarian tumors were identified as bilateral and 1 non-ovarian tumors; 26 of 33 non-ovarian tumors were identified as non-ovarian tumors by CT and 7 as ipsilateral ovarian tumors. The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of CT in identifying ipsilateral ovarian tumors were 96.3%, 78.8%, 92.2%, 93.7% and 86.7%, respectively.【Conclusion】Ovarian vein tracing based on multi-planar reorganization CT is a simple, accurate and reproducible method for identifying ovarian tumors, which has important clinical application value.
Key wordsOvarian Cysts/DI    Tomography    X-Ray Computed
收稿日期: 2018-08-19     
PACS:  R711.75  
通讯作者: E-mail:tgh6320@163.com   
引用本文:   
杨林林, 魏明华, 张书宜, 徐艳琦, 崔社娟. 基于多平面重组CT卵巢静脉追踪对卵巢源肿物的诊断价值[J]. 医学临床研究, 2019, 36(4): 699-701.
YANG Lin-lin, WEI Ming-hua, ZHANG Shu-yi, et al. Diagnostic Value of Ovarian Vein Tracking Based on Multiplanar Reconstituted CT in Ovarian Origin Tumors. JOURNAL OF CLINICAL RESEARCH, 2019, 36(4): 699-701.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.04.026     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I4/699
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