多层螺旋CT在卵巢肿瘤蒂扭转中的诊断价值

Diagnosis value of multi-layered screw CT in the tumor ovarii peduncle reverses

目的:探讨多层螺旋CT在卵巢肿瘤蒂扭转中的诊断价值。方法:回顾性分析10例经手术病理证实的卵巢肿瘤蒂扭转的CT表现。结果:扭转的卵巢肿瘤为圆形或椭圆形囊实混合性肿块。1例为单房囊肿,6例为多房囊肿,3例密度不均,伴钙化、脂肪影。肿瘤囊壁边缘光滑或稍毛糙,连于肿瘤扭转蒂的一侧囊壁增厚,扭转蒂增粗、扭曲,形成连于肿瘤的假性肿块影,本组5例典型的与肿瘤形成双肿块影。结论:多层螺旋CT能很好地显示蒂扭转肿瘤的CT特征,对卵巢肿瘤蒂扭转有很高的临床诊断价值。

Objective To discuss the diagnosis value of multi -layer screw CT in the tumor ovarii peduncle reverses. Method 10 ca- ses of CT were analysed which were confirmed by surgery pathology as tumor ovarii peduncle which reversesed retrospectively. Results The reverse tumor ovarii was the circular or the ellipse pouch solid mixing property tumour. 1 example for the single room cyst,6 examples for many cysts,3 examples＇ densities were uneven accompanied calcification and fat shade. Tumor pouch wall edge was smooth or slightly coarse,including reversing peduncle＇s one side pouch wall accumulation in the tumor, reversed the peduncle to increase, the distortion thickly, forms continually in the tumor ＂the pseudo tumour＂ the shade, this group of 5 example model and tumor formation ＂double tumour shade＂. Conclusion Multi -layer screw CT can demonstrate well the peduncle reverses the tumor CT the characteristic, has very high clini- cal diagnosis value to the tumor ovarii peduncle reverse.