螺旋CT在女性盆腔病变的诊断价值

The diagnostic value of using spiral CT scan technique to examine the lesion in woman pelvic cavity

目的:探讨螺旋CT扫描技术在女性盆腔病变诊断价值。方法:分析57例女性盆腔病变CT表现,并与手术病理结果对照。结果:病变检出率100%,手术符合率88%。卵巢癌与囊腺瘤的鉴别要点是:实性组织在肿物中所占的比例和软组织结节形态和在动、静脉期的强化特点。动脉期“双环征”及静脉期、延迟扫描持续强化是卵巢脓肿的特征。子宫内膜癌及绒癌在动脉期与正常子宫平滑肌比较有相反的CT特征。直肠左右明显移位是后腹膜病变定位可靠的CT征象。结论:螺旋CT双期扫描能显示各种女性盆腔病变更多CT特征,对提高女性盆腔病变术前诊断有意义,经验不足是造成误诊主要原因。

Objective:To study the value of usi ng spiral CT scan technique to examine the lesion in woman pelvic cav-ity.Method s:Spiral CT scan was performed in57patients with lesion in their pelvic cavit y and the CT diagnostic results are compared with the surgical pathology results .Results:Lesion detecting rate was100%,coincidence rate was88%after op era-tion.The main points of distinguishing ovariogenic cancer and adenocyst a re the proportion of the solid tissue in the tumor,the node shape of parenchy ma intens...