CT在临床妇科盆腔肿块诊断中的应用研究

Diagnosis of gynecology pelvic masses using CT

目的分析女性盆腔良恶性肿块的CT表现，提高CT对盆腔肿块良恶性的鉴别诊断能力。方法回顾性分析48例妇科盆腔肿块患者经手术病理证实的女性盆腔肿块患者的CT表现。结果其中良性肿块17例，恶性肿块31例。CT诊断良恶性准确度为91．7％。盆腔肿块的边缘、脂肪密度、壁结节、腹盆腔淋巴结肿大、腹水以及强化形式对盆腔肿块良恶性的鉴别诊断意义较大。结论CT诊断盆腔肿块对指导临床具有重要价值。

Objective To analyze CT findings of female pelvic masses and improve CT differential diagnosis in patients with female pelvic masses. Methods 48 female patients with pelvic masses were admitted in our hospital. Their lesions were incised and examined with pathology method. CT findings of the lesions were retrospectively reviewed in comparison with pathology findings. Results Based on pathology, benign female pelvic masses were identified in 17 cases and malignant in 31 cases. The accuracy of CT in differentiation of benign and malignant was 91.7 %. The margin, fat density, mural nodules, metastatic lymph node, ascites and enhanced patterns of female pelvic masses were of more importance for CT differential diagnosis. Conclusion CT diagnosis of pelvic cavity mass has great value to guide clinical therapy.