摘要
目的分析巨大子宫肌瘤的MSCT表现,探讨MSCT对巨大子宫肌瘤的诊断及鉴别诊断价值。方法回顾性分析经手术和病理证实的12例巨大子宫肌瘤的MSCT资料。结果 12例均为单发肿瘤,位于浆膜下8例,肌壁间3例,黏膜下1例。最大径线在12～20 cm者5例,20～30 cm者4例,>30 cm者3例。平扫表现为以低、等密度为主的混杂密度肿块,边界较清,增强呈不均匀轻至中度强化,内部低密度影未见强化。6例显示子宫动脉参与肿瘤供血。病理证实12例肿瘤内均有不同程度变性,12例巨大子宫肌瘤诊断准确率100.0%。结论 MSCT对巨大子宫肌瘤的诊断价值较大,结合后处理图像,对多数巨大子宫肌瘤可作出正确诊断。
Objective To analyze the material of multi-slice spiral CT（MSCT） for giant hysteromyoma,and to explore its diagnostic value. Methods The data of MSCT of twelve cases of giant hysteromyoma proved by surgery and pathology were reviewed. Results Twelve cases were solitary tumour.It is located in subserousa of uterus in 8 cases,in myometrium in 3,and in submucosa in one.The maximal diameters of tumours ranged from 12 cm to 20 cm in 5 cases,20 cm to 30 cm in 4 cases,more than 30 cm in 3 cases.CT plain scanning showed inhomogeneous density in all cases and with clear border.Enhanced scanning showed inhomogeneous enhancement in all cases.In 6 cases it showed the uterine atery provided the blood atery for tumour.Pathology showed 12 cases with degeneration of different extent,together with disposed images.The diagnostic accuracy of 12 cases was 100.0%. Conclusion MSCT is important for the diagnosis of giant hysteromyoma and combined with disposed images,most giant hysteromyoma can be diagnosed correctly.
出处
《实用肿瘤杂志》
CAS
2012年第1期80-82,共3页
Journal of Practical Oncology
关键词
肌瘤
子宫
体层摄影
X线计算机
诊断
诊断
鉴别
回顾性研究
myoma
uterus
tomography X-ray computed
diagnosis
diagnosis
differential
retrospective studies
