MSCT在女性盆腔囊性及囊实性病变的诊断与鉴别诊断中的价值

MSCT in diagnosis and differential diagnosis of female pelvic cystic and cystic& solid lesion

目的:MSCT在女性盆腔囊性及囊实性病变的扫描特征,提高其诊断及鉴别诊断水平。方法:回顾性分析有完整的MSCT、临床及病理资料的女性盆腔囊性及囊实性病变36例。结果:病变直接来源于妇科器官(子宫及附件)34例,妇科器官外的2例。其中良性27例,恶性9例。单纯囊性病变其囊壁较薄或不能显示,增强扫描均无强化;囊实性病变其囊壁及实性部分有不同程度强化。良性者形态规则,囊壁薄而规则,囊壁边界一般较清;恶性者形态不规则,囊壁边界可清可不清,实性成分较多,囊壁及囊内分隔厚薄不均,均有不同程度的强化。结论:MSCT对女性盆腔囊性及囊实性病变的定位准确率高,对定性诊断亦具有重要价值,密切结合临床病史,可作出较准确的诊断。

Objective： To investigate the features of female pelvic cystic and cystic＆ solid lesions scanned by MSCT, and improve the level Of diagnosis and differential diagnosis for female pelvic cystic and cystic＆ solid lesion. Methods： Retrospectively analyzed 36 female pelvic cystic and cystic＆ solid lesion cases with complete data including MSCT, clinical and pathological data. Results： 34 cases had lesion from gynecological organs （ uterus and appendages）, and 2 from other organs. 27 cases were benign, and 9 cases were malignant. Pure cystic lesion couldn＇t be shown due to its thin wall, and couldn＇t be intensified even by enhanced CT. Cystic and cystic＆ solid lesion was strengthened at different degree in wall and solid part. Benign lesion was in regular shape, with thin and regular wall and clear border; while malignant lesion had unclear border, more solid part, uneven compartment, and intensification at different degree. Conclusion ： MSCT has high accuracy in locating female pelvic cystic and cystic＆ solid lesions, and is valuable in qualitative diagnosis.