女性盆腔占位病变CT影像分析

Analysis on CT images of female pelvic spaceoccupying lesions

目的:探讨女性盆腔占位性病变的CT影像特征。方法:回顾分析CT平扫及双期增强扫描诊断女性盆腔占位性病变100例的资料,所有病例经过手术、病理检查。结果:本组100例盆腔占位116个病灶中,子宫肌瘤32例,卵巢囊腺瘤及囊腺癌16例,卵巢上皮细胞癌12例,宫颈癌10例,卵巢畸胎瘤12例,卵巢囊肿14例,卵巢癌转移8例,子宫内膜癌8例,盆腔炎性包块4例,子宫内膜异位症4例,小肠系膜囊肿1例。CT准确定性诊断符合率达84.4%(98/116),准确定位诊断符合率86.2%(100/116)。结论:CT对盆腔占位的定位定性方面具有显著优势,尤其对鉴别良、恶性肿瘤具有较高的准确性。

Objective：To evaluate the characteristics of CT images in female pelvic spaceoccupying lesions.Methods：The images of CT scan and dual-phase enhanced scan in the diagnosis of female pelvic spaceoccupying lesions were retrospectively analyzed.All 106 cases were diagnosed by surgery and pathology.Results：Among 116 lesions in 106 cases of pelvic spaceoccupying lesions,uterine fibroids was in 32 cases,ovarian cystadenoma and cystadenocarcinoma in 16 cases,ovarian epithelial cell carcinoma in 12 cases,cervical cancer in 10 cases,ovarian teratoma in 12 cases,ovarian cyst in 14 cases,ovarian metastasis cancer in 8 cases,endometrial carcinoma in 8 cases,pelvic inflammatory mass in 4 cases,endometriosis in 4 cases and mesenteric cyst in 1 case.The coincidence rate of accurate qualitative diagnosis in CT reached to 84.4%（98/116） and that of accurate positioning diagnosis was 86.2%（100/116）.Conclusion：CT has significant superiority in the qualitative and quantitative aspects of the positioning of pelvic mass,especially for benign and malignant tumors with high accuracy.