摘要
目的:分析输卵管卵巢脓肿的CT特征,探讨CT对输卵管卵巢脓肿与卵巢附件良性肿瘤的鉴别诊断价值。材料和方法:回顾性分析13例输卵管卵巢脓肿和11例卵巢良性肿瘤的CT表现。结果:绝经前患者输卵管卵巢脓肿12例(12/13例),良性肿瘤组4例(4/11例)。脓肿13例(13/13例)、良性肿瘤9例(9/11例),CT表现为附件区囊实性肿块,脓肿和良性肿瘤边缘轮廓模糊不清分别为11例(11/13例)和4例(4/11例),两组显示囊壁增厚和边缘层状增强分别为10例(10/13例)和2例(2/11例)。脓肿的子宫骶骨韧带增厚和骶前直肠周围脂肪模糊分别为10/13例和9/11例,而良性肿瘤组无1例发生。结论:附件脓肿壁增厚和层状增强,子宫骶骨韧带增厚及骶前直肠周围脂肪模糊有助于鉴别输卵管卵巢脓肿和卵巢良性肿瘤。
Purpose：To analyze the CT features of tubovarian abscesses and to discuss their distinguishing evaluation between tubovarian abscesses and ovarian benign tumors.Materials and Methods：The CT features were analyzed retrospectively,that there were 13 cases with tubovarian abscess and 11 cases with ovarian benign tumors.Results：There were 12 cases（12/13） with tubovarian abscess and 4 cases（4/11） with benign ovarian tumors in the premenopause women.In 13 cases with tubovarian abscess and 11 cases with ovarian benign tumors,the lesions appeared as a cystic-solid complex adenxal mass on CT in 13 cases（13/13） and 9 cases（9/11）,respectively.The tubovarian abscess and ovarian benign tumor had indistinct margins of lesions in 11 cases（11/13） and 9 cases（9/11）,respectively.The lesion had a capsule wall thickening and stratified enhancement pattern in 10 casses（10/13） and 2 cases（2/11） of the two groups,respectively.The uterosacral ligament thickening and presacral /perirectal fat stranding could be seen with tubovarian abscesses in 10 cases（10/13）and 9 cases（9/13）,respectively,but none in ovarian benign tumors.Conclusions：On CT,the signs of the capsule wall thickening,stratified enhancement pattern,the uterosacral ligament thickening and presacral /perirectal fat stranding could help to distinguish tubovarian abscess from ovarian beign tumors.
出处
《中国医学影像学杂志》
CSCD
2007年第6期408-411,共4页
Chinese Journal of Medical Imaging
