盆腔子宫内膜异位症的CT及B超表现(附15例报告)

CT and US Features of Endometriosis of Pelvis (A Report of 15 cases)

目的：探讨ＣＴ及Ｂ超诊断盆腔子宫内膜异位症的价值。材料和方法：回顾性分析１５例经手术病理证实的盆腔子宫内膜异位症影像学改变。结果：１２例表现为卵巢宫内膜异位囊肿，ＣＴ及Ｂ超主要表现：（１）常为两侧性，外形多呈分房状；（２）内部液体密度偏高、不一致或出现分层，液性暗区底部有可移动的光点；（３）壁稍厚欠均匀、边缘毛糙，与周围结构明显粘连。１例肠道壁实性肿物，两例盆腔粘连致输尿管狭窄及肾积水。结论：综合分析ＣＴ等影像学表现，密切结合临床尤其是与月经来潮的关系，有助于术前定性诊断。

Purpose: To explore the value of CT and US in the diagnosis of endometriosis of pelvis. Materials and methods: Imaging findings of 15 cases endometriosis of pelvis confirmed by biopsy were analysed retrospectively. Results: The main features of CT and US in 12 cases with endometriotic cysts of ovary were as follows: (1) Most cysts were lobulated, bilateral; (2) Contents was slightly density or different fluid levels, the fluid dark area containing light spots; (3) Cystic walls were slightly thick、hazy and heterogeneous, pushing and adhering to surrounding structures; mass at the wall of bowel 1 case; ureterostenosis and hydronephrosis caused by pelvic adhesion 2 cases. Conclusion: Correct diagnosis can be done in most cases if correlated the imaging findings with the clinical information, especially menstruation.