李光宇　彭汉华　张钦昌　吴天文

[摘要]目的 综合分析卵巢卵泡膜细胞瘤的CT、MR（磁共振）及临床特点，为治疗卵巢卵泡膜细胞瘤患者提供科学的数据参考。 方法 选取我院2011年6月～2015年12月经病理证实的的45例卵巢卵泡膜细胞瘤患者作为研究对象，其中有22例患者接受CT检查诊断（作为A组），23例患者接受MR检查诊断（作为B组）。采用SPSS12.0统计学软件进行统计学分析A、B两组患者的诊断结果以及临床资料。 结果 A组患者中有10例（占45.45%）实性肿块，5例（占22.73%）囊实性肿块，7例（占31.82%）囊性肿块；平扫密度占85.5%，增强CT扫描呈现轻度强化趋势；B组患者中有11（占47.82%）例实性肿块，6例（占26.09%）囊实性肿块，6例（占26.09%）囊性肿块；T1WI呈低/等信号，T2WI呈稍低/等信号，增强MRI扫描呈现轻度强化趋势；A组患者的特异度以及灵敏度分别为92.1%、93.4%，B组患者的特异度以及灵敏度分别为90.5%、91.2%（P>0.05）。 结论 充分认识卵巢卵泡膜细胞瘤的CT、MR（磁共振）表现能够在一定程度上提高临床诊断的正确性。

[关键词] CT；MR；卵巢卵泡膜细胞瘤；诊断

[中图分类号] R737.31 [文献标识码] B [文章编号] 2095-0616（2016）09-178-03

[Abstract] Objective To explore the CT， MR， and clinical features of ovarian follicular cell tumor， and provide scientific data references for the treatment of this disease. Methods 45 patients who were pathologically confirmed to have ovarian follicular cell tumor in our hospital from June 2011 to December 2015 were selected， 22 cases of them received CT （Group A）， the other 23 cases received MR （Group B）. The diagnosis results and clinical data of the two groups were analyzed and compared by SPSS12.0 software. Results In group A， there were 10 cases with solid masses （account for 45.45%）， 5 cases with solid cystic masses （account for 22.73%）， and 7 cases with cystic masses （account for 31.82%）， the precontrast density account for 85.5%， the enhanced CT scan showed a mild enhancement trend. In group B， there were 11 cases with solid masses （account for 47.82%）， 6 cases with solid cystic masses （account for 26.09%）， and 6 cases with cystic masses （account for 26.09%）， MRI showed low or equal signal areas in T1WI and slightly lower or equal signal areas in T2WI， the enhanced MRI scan showed a mild enhancement trend. The specificity and sensitivity of group A were 92.1% and 93.4% respectively， while those of group B were 90.5% and 91.2% respectively （P>0.05）. Conclusion Detailed grasping of the CT and MR results of ovarian follicular cell tumor may improve the clinical diagnosis accuracy to a certain extent.

[Key words] CT； MR； Ovarian theca cell tumor；Diagnosis

卵巢卵泡膜细胞瘤（ovarian follicular cell tumor）是一种较为少见的女性生殖器官肿瘤，卵巢卵泡膜细胞瘤的发生率较低，但是由于其影像学特征不明显，所以很容易和卵巢良性病变混淆，一旦发现患者有腹腔积液问题则很容易被误诊为患有恶性肿瘤[1-3]。因此，为了有效避免上述症状的出现，笔者将根据相关工作经验，选取我院经病理证实的45例卵巢卵泡膜细胞瘤患者作为研究对象，其中有22例患者接受CT检查诊断（作为A组），23例患者接受MR检查诊断（作为B组）。研……