局解手术学杂志2016，Vol.25Issue(8)：577-580,4.DOI:10.11659/jjssx.02E016018
MSCTA辅助儿童卵巢肿瘤蒂扭转定位诊断及精准手术
Assisted diagnostic value and precise surgery significance of MSCT angiography in torsion of ovarian tumors in children
摘要
Abstract
Objective To study the assisted diagnostic value and significance in precise surgery of MSCT angiography in torsion of ovar-ian tumors in children. Methods The dual-phase enhanced MSCT images data of 15 children patients with ovarian tumor torsion which were confirmed by surgery were retrospectively analyzed. Showed the vascular changes around the ovaries and judged the ovarian tumors arise and torsion side with the vascular reconstruction methods of multi-planar reconstruction (MPR),maximum intensity projection (MIP),volume rendering ( VR) ,then compared with the operation situation. Results Among the 15 cases aged from 2 months to 11 years old who were de-tected with MSCT scanning and angiography, there were 11 cases of benign tumor (9 cases of ovarian teratoma and 2 cases of serous cystade-noma) and 4 cases of malignant tumor (3 cases of yolk sac tumor and 1 case of malignant mixed germ cell tumor). MSCTA displayed that o-varian vessels changes were abnormal thickening and twisting of distal feeding artery and tumor vascular network formation;and there were thickening, tortuosity, increased density and a few visible‘whirl sign’ in draining veins. Preoperative MSCTA displayed ovarian tumor blood supply arteries were found 5 cases of downlink of ovarian artery and 10 cases of asscending branches of uterine artery. There were 4 cases of ovarian tumor originated from the left ovary combined with reverse and 11 cases originated from the right ovary combined with reverse, which were consistent with intraoperative findings. Intraoperative MSCTA provide information which helped accurate chose of the surgical incision, precise abruption of tumor blood vessels and resection of the tumor and ovarian lesions, thus saved the operation time and reduced the blood loss. Conclusion MSCT angiography can not only provide diagnosis information of torsion of ovarian tumors in children,but also more impor-tantly,it has an important assisted significance in precision surgery.关键词
卵巢扭转/卵巢肿瘤/精准手术/多层螺旋CT血管成像/儿童Key words
ovarian torsion/varian tumor/precision surgery/multi-slice spiral CT angiography/children分类
医药卫生引用本文复制引用
丁永刚,单凯,蔡金华,秦勇..MSCTA辅助儿童卵巢肿瘤蒂扭转定位诊断及精准手术[J].局解手术学杂志,2016,25(8):577-580,4.基金项目
重庆市教委基金(KJ080313) （KJ080313）
