CT及MRI在女性盆腔囊实性病变的临床应用

Clnical Application of CT and MRI to Female Pelvic Cystic-solid Masses

目的探讨CT及MRI在女性盆腔囊实性病变的临床应用价值。方法收集经病理证实的女性盆腔囊实性病变54例,分析其CT及MRI表现。结果良性37例,恶性17例。卵巢源性41例:其中卵巢囊肿16例;卵巢囊腺瘤5例;卵巢畸胎瘤5例;卵巢囊腺癌14例;卵巢转移癌1例;盆腔感染性病变6例,其中卵巢输卵管积脓2例,阑尾脓肿3例,盆腔局部脓肿1例。子宫源性6例,其中子宫肌瘤变性4例,子宫内膜样癌2例;其他来源1例。诊断定位准确49例(90.7%),定性准确45例(83.3%)。结论 CT及MRI对女性盆腔囊实性病变的定位、定性准确性均较高,部分病变在MRI有一定的特征性表现,对定性起到很好帮助。

Objective To discuss the clinical value of CT and MRI in the diagnosis of female pelvic cystic-solid masses. Methods The CT and MRI manifestations of 54 female patients with pelvic cystic-solid masses which were proved by pathology were retrospectively analyzed. Results 37 cases were benign, and 17 cases were malignant. 41 cases originated from ovary, and 16 cases of them were ovarian cysts, 5 cases were owu-ian cystadenoma, 5 cases were ovarian teratoma, 14 cases were ovarian cystadenocarcinoma, and 1 case was ovarian metastasis. 6 cases were pelvic infected diseases, and 2 cases of them were ovarian and tubal abscess, cases were appendiceal abscess L-and 1 case was pelvic local abscess. 6 cases originated from uterus, and 1 case was uterine fibriod degeneation, 2 cases were endometrioid carcinoma. 1 case was other originated. 49 cases （90.7%） were diagnosed accurate in position, and 45 cases （83.3%） were diagnosed accurate in qulity. Conclusion CT and MRI have high diagnostic accuracy in position and quality of cystic-solid mass in female pelvis, Parts of lesions have characteristics in MRI images L-so MRI call help to the qualitative diagnosis.