育龄期妇女盆腔假性囊肿的临床及CT表现(附12例分析)

Clinical manifestations and CT findings of women′s pelvic pseudocyst in sexual maturity

目的 :回顾分析育龄期妇女盆腔假性囊肿的临床症状、CT表现、手术所见及病因 ,以提高对该病的认识。方法 :12例经病理或临床证实盆腔假性囊肿 ,年龄 2 3～ 41岁 ,其中 8例有盆腔或下腹部手术史 ,2例有引产史。结果 :育龄期妇女盆腔假性囊肿的CT表现不典型 ,误诊率较高。临床及超声检查也同样有较高的误诊率。结论 :对于育龄期妇女盆腔囊性肿块 ,如有盆腔或下腹部手术史者 ,应想到假性囊肿的可能性。多次复查并结合临床症状分析 。

Objective:To study the clinical manifestation and CT findings of woman′s pelvic pseudocyst in sexual maturity correlated to surgical findings and to explore its causes.Methods:Among 12 cases with pelvic pseudocysts proved by pathology or clinical course,8 cases had surgical history in pelvic cavity or lower abdomen,and 2 cases of abortion.Results:When the CT findings of pelvic pseudocyst in sexual maturity,as well as the clinical and the ultrasound findings,are of no typical appearances,the rate of misdiagnosis is high.Conclusion:The pseudocyst should be considered if a cystic lesion is detected on CT scans in pelvic cavity of woman in sexual maturity,espically with surgical history in pelvic cavity or lower abdoman.Multiple followup checks of imaging combined with clinical manifestations could make a correct diagnosis of the disease.