重庆医学2016，Vol.45Issue(30)：4186-4189,4.DOI:10.3969/j.issn.1671-8348.2016.30.004
妇科恶性肿瘤和良性病变的腹盆部脂肪组织分布研究
The distribution of abdominal and pelvic adipose tissue in malignant gynecologic tumor and benign gynecologic diseas
摘要
Abstract
Objective To study the abdominal and pelvic adipose tissue volume and distribution in patients with malignant gynecologic tumor and benign gynecologic disease prospectively .Methods Eighty patients with malignant gynecologic tumor and eighty patients with benign gynecologic disease were underwent abdominal and pelvic CT scan by 64‐slice spiral CT and QCT cali‐bration phantom .The area and the volume of TAT ,VAT ,SAT of abdomen and(or) pelvis(TFV ,VFV ,SFV and VFV/SFV) were measured and calculated .The differences between the malignant gynecologic tumor group and the benign gynecologic disease group and between the different stages or types of malignant gynecologic tumor groups were compared ,then the distribution of AT was analyzed .Results (1)Except the VFV of abdomen and pelvis ,there were differences in TFV ,VFV and SFV between the malignant gynecologic tumor group and the benign gynecologic disease group(P<0 .05) ,the former was higher .(2)There were differences in abdominal and pelvic TFV ,VFV ,SFV between the early‐stage and the advanced‐stage malignant gynecologic tumor group and be‐tween the early‐stage and the benign gynecologic disease group(P< 0 .05) ,the early‐stage group was the highest;there was no difference between the advanced‐stage and the benign gynecologic disease group(P>0 .05) .There were differences in VFV/SFV between the early‐stage and the benign gynecologic disease group and between the advanced‐stage and the benign gynecologic dis‐ease group(P<0 .05) ,the benign gynecologic disease group was the highest ;there was no difference between the early‐stage and the advanced‐stage group(P>0 .05) .(3)There was no difference in abdominal and pelvic TFV ,VFV ,SFV ,VFV/SFV between the en‐dometrial carcinoma and the cervical carcinoma group(P>0 .05) .(4)There were positive correlations between abdominal or pelvic VFV ,SFV and abdominal and pelvic TFV ,the abdominal SFV was the highest .Conclusion The patients with malignant gyneco‐logic tumor ,especially in the early‐stage ,were much fatter than the patients with benign gynecologic disease .In malignant gyneco‐logic tumor patients ,the SAT increased more significantly than the VAT ,and had the highest correlation with TAT ,and was the mainly composition of obesity .关键词
定量体层摄影术/校准体模/脂肪组织/脂肪分布/妇科恶性肿瘤Key words
quantitative computed tomography/calibration phantom/adipose tissue/fat distribution/malignant gynecologic tumor分类
医药卫生引用本文复制引用
王克扬,梁宇霆,李彪,王新莲,梁颖,孟颖,马娇,彭珊珊,韩茜茜..妇科恶性肿瘤和良性病变的腹盆部脂肪组织分布研究[J].重庆医学,2016,45(30):4186-4189,4.基金项目
首都医科大学附属北京妇产医院中青年学科骨干培养专项基金资助项目（fcyy201419）。 （）
