女性盆腔炎性包块的CT诊断及临床分析

CT Diagnosis and Clinical Analysis of Infectious mass in Female Pelvic Cavity

目的：回顾性总结21例女性盆腔炎住包块CT和临床表现。材料与方法：病例均有完整住院病历和CT扫描资料，两人读片进行总结。结果：女性盆腔炎性包块可发生在盆腔任何部位，但多发生在附件部位，其形态不规则，没有浸润征，实质内密度不均匀，增强后整体强化，可出现多种复杂图像，使平扫显示不清的囊腔，壁边界变清。临床特征包括有发热，下腹疼痛，子宫颈举痛，有时可触及边界不清的包块，但对深部及大范围包块，临床诊断困难。结论：女性盆腔炎性包块在CT影像上有一定特征，CT可准确作出诊断，并与其它盆腔内包块相鉴别。对于临床上怀疑有盆腔炎性包块存在时，及时做CT检查是必要的。

Purpose: To study the CT finding and clinied character of infectious masses in female pelvic cavity.Materials and Methods: CT finding and clinical character of 21 cases with in-patient and CT scanning material were analysed by two doctors. Results: Those infectious masses could be found at anywhere in female pelvic cavity, but the maority could be found at the appedix of uterus.Those infectious masses were characterized as irregular feature, no cleary in common scan density and no invasive feature. Some complex patterns (some cavities, walls) in infectious masses could be found cleary after contrast but The clinical features included qever, the lower abdominal pain, the pain of cervix of uterus when risen, sometimes a mass could be touched. It was difficult for clinical doctor to diagnoSe the infectious mass of deep and wide scope. Conclusion: There were some CT characteriations for woman infectious masses in pelvic cavity. CT was very accurate to determing the soure of mass. It was necessary to CT scan when a infectious mass was doubted in woman pelvic cavity