摘要
目的 :分析和总结女性盆腔良性病变在CT上的表现。材料与方法 :2 7例女性盆腔良性病变 ,共 32个病灶 ,年龄 2 2岁~ 70岁。平均 43岁。 2 3例同时行增强扫描。结果 :(1)来源于生殖系统的良性肿瘤包括子宫肌瘤 7例 ,卵巢囊肿 9例 ,卵巢囊腺瘤 5例 ,畸胎瘤 3例 ,卵巢纤维瘤 1例。 (2 )非肿瘤性病变包括子宫腺肌病 3例 ,输卵管妊娠 2例 ,盆腔脓肿 2例。结论 :(1)CT能显示病变的组织学特征 ,对畸胎瘤、子宫肌瘤、卵巢囊肿、卵巢囊腺瘤等可作定性诊断。 (2 )肿块出现囊内乳头状结节 ,壁厚而不规则及肿块坏死等恶性肿瘤征象 ,有时也可能为良性病变 ,应加以鉴别。 (3)子宫腺肌病、输卵管妊娠、盆腔脓肿缺乏特异CT表现 ,应结合临床全面分析。
Purpose:To analyze and summarize the CT features of benign female pelvic lesions.Materials and Methods:CT findings of benign female pelvic lesions in 27 patients(32 lesions),aged 22~70 years,with a mean of 43 years,were retrospectively analyzed.Results:Of 31 benign pelvic lesions,25 were originated from genital system,7 weren′t tumors.Conclusion:(1)Benign tumors,such as teratoma,uterine leiomyoma,ovarian cyst,cystadenoma,have some characteristic signals on CT with which diagnostic accuracy may be obtained.(2)some so-called malignant features of tumors,such as cystic wall nodules,irregular thick wall,necrosis,can also be found in benign tumors.(3)Ectopic pregnancy,internal endometriosis,pelvic abscess,haven′t characteristic signals on CT.
出处
《现代医用影像学》
2001年第2期76-78,共3页
Modern Medical Imageology