螺旋CT对女性盆腔囊性病变的鉴别诊断

Differential Diagnosis of Spiral CT for Cystic Lesions of Female Pelvic

目的:提高螺旋CT诊断女性盆腔囊性肿块的正确性。方法:收集明确诊断的女性盆腔囊性肿块15例,所有病例行螺旋CT平扫、增强扫描,并对其CT表现作回顾性分析。结果:15例,良性13例,恶性2例。CT诊断定位正确14例(93.3%),定性正确10例(66.7%)。其中卵巢囊性畸胎瘤2例;卵巢囊腺瘤3例;卵巢囊腺癌1例;卵巢转移瘤1例;卵巢内膜异位囊肿2例;卵巢囊肿3例;盆腔囊性感染性包块3例;结论:螺旋CT对女性盆腔囊性肿块定位及定性诊断具有较高价值。

Objective： To improve the accuracy rate of spiral CT in the diagnosis of cystic lesions of female pelvic. Method： 15 cases with pelvic cystic lesions were performed CT plain scan, and their CT manifestations were retrospectively analyzed. Result.. Of the 15 cases, 13 were benign and 2 were malignant. 14 （93.3%） were correctly localized and 10 （66.7%） were correctly identiffed. Among them, there were 2 of ovarian cystic teratoma, 3 of ovarian cystadenoma, 1 of ovarian cystic carcinoma, 1 of ovarian metastatic tumor, 2 of ovarian endometriosis cysts, 3 of ovarian cyst, and 3 of pelvic cystic infeclious mass. Conclusion： Spiral CT isof great value for localization and qualitative diagnosis of pelvic cystic lesions.