黎凤媛,张可见.腹盆腔CT扫描在评估卵巢癌分期及肿瘤细胞 减灭术可行性中的应用价值[J].中国医学影像技术,2000,16(1):0058~60
腹盆腔CT扫描在评估卵巢癌分期及肿瘤细胞 减灭术可行性中的应用价值
Preoperative Abdominpelvic CT Prediction of Staging and Optimal Cytoreduction in Ovarian Carcinoma
投稿时间:1999-08-12  
DOI:
中文关键词:  X线计算机  卵巢癌  细胞减灭术
英文关键词:X-ray ,computed  Ovary cancer  Cytoreduction
基金项目:
作者单位
黎凤媛 湖南医科大学附属第二医院放射科,湖南长沙 410011 
张可见 湖南医科大学附属第二医院放射科,湖南长沙 410011 
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中文摘要:
      目的 探讨术前腹盆腔CT 扫描在评估卵巢癌分期及肿瘤细胞减灭术可行性中的应用价值。方法 40 例卵巢癌术前一周内行腹盆腔CT 扫描,术后将其影像表现与手术病理对照分析。结果 40 例卵巢癌CT 分期准确性75 % , Ⅲ期分期的准确性85 % ,CT 对横膈、肝包膜,子宫直肠窝转移病变检测的敏感性为100 %、69 % ,网膜转移敏感性88 %。CT 评估成功的肿瘤细胞减灭术敏感性91 % ,不可切除病变敏感性为66 %。结论 腹盆腔CT 扫描是卵巢癌术前分期和评估肿瘤细胞减灭术可行性优良的检查方法。
英文摘要:
      Objective To evaluate ovarian cancer staging and tumor resectalibity with computed tomography. Methods Forty women underwent CT ,lmaging was performed 1 week of sugical staging. Radiologic. surgical and histopathologic findings were compared. Results Over all staging accuracy with computed Tomography imaging was 75 % ,accuracy was highest in patients with stage Ⅲdisease 85 %for CT. The sensitivity of detection on liver surface、diaphragmatic and in the cul-desac impants with CT was 100 %、69 %. The sensititity of omental involvement with CT was 88 %. The sensitivity of 91 % for prediction of optimal cytoveduction ,nonresectability was 66 %. Conclusion Preoperative abdominopelvic computed tomogrphic is should be used as excellent method of staging in ovarian cance and prediction of tumor resectability.
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