CT对女性盆腔包块的诊断29例

Diagnostic Value of Gynecologic Masses in Female Pelvic Cavity: Report of 29 Cases

目的 分析 2 9例妇科盆腔包块的CT表现 ,结合手术病理结果 ,以提高CT的诊断能力。方法 全部病例均行CT及B超检查 ,2 7例行CT增强扫描。结果 良性病变 2 0例 ,分别为子宫肌瘤 ,卵巢囊肿、囊腺瘤、畸胎瘤、输卵管炎、子宫内膜息肉。恶性病变 9例 ,分别为宫颈癌、卵巢癌、子宫内膜癌等。CT上主要表现为囊性、囊实性及实性影 ,良性病灶多为均匀一致密度 ,与周围界限清楚 ,可有分隔 ,部分边缘强化 ,恶性病灶多密度不均 ,形态不规则 ,分界不清 ,呈不均匀强化。CT定位定性准确率高于B超。结论 CT平扫加增强 ,可较准确显示病灶的数目、大小、形态结构与周围关系及了解良恶性 ,对制定治疗方案及术后随访有指导意义。

Objective To study CT findings of gynecologic masses in pelvic cavity combined with pathologicaloperationeffect to improve the capability of CT diagnosis. Methods All cases were examined by CT and B-mode Ultrasound, in which 27 cases were given enhanced scaning. Results Among them, 20 cases were benign, they were hystromyoma, ovarian cyst, teraeoma, salpingitis and cervical polyp. 9 cases were malignant, they were cervical cancinoma, ovarian cancinoma and endometrial cancinoma. The main CT findings were cystic mass and cyst-mass disease. Most of the benignities were homogeneous in density, well-difined and party enhaucement. The maligancy wwas heterogenous in density, ill-difind and heterogenous enhaucement. CT had higher locational and qualitative rate than B-mode Ultra-sound. Conclusion CT plain scans and contrast enhanced scans can detect the number, size, figure and structure of the disease, relation to something around, the distinction of masses between benignity and malignancy. They play an important role in selecting therapeatic plans and postoperatiere survey.