摘要
目的：探讨女性盆腔囊性病变中多层螺旋CT鉴别诊断的价值。方法：选取2013年2月~2014年2月间该院收治的盆腔囊性病变女性72例,行多层螺旋CT平扫、增强扫描和多平面重建,分析CT图像特征和诊断结果。结果：共发现96个囊性病灶,直径大小为18~211 mm,其中良性78个,恶性18个。72例中卵巢囊肿17例,病灶20个;卵巢囊性畸胎瘤13例,病灶15个;卵巢囊腺瘤11例,病灶13个;卵巢囊腺癌5例,病灶9个;卵巢内膜异位囊肿12例,病灶17个;盆腔囊性感染性包块7例,病灶7个;其他7例,病灶15个。CT检查定位准确率为93.75%,定性准确率为78.12%。结论：针对各种盆腔囊性病变的多层螺旋CT扫描图像均具有较为明确的特征性表现,其对女性盆腔囊性病变肿块的定位和定性诊断具有较高的价值。
Objective： To explore the value of multislice CT in differential diagnosis of female pelvic cystic lesions. Methods： A total of 72 women with pelvic cystic lesions treated in the hospital from February 2013 to February 2014 were selected,then multislice CT scan,enhancement scan and multiplanar reconstruction were performed,the characteristics of CT images and diagnosis were analyzed. Results： A total of 96 cystic lesions were found,the diameter was 18- 211 mm,78 lesions were benign and 18 lesions were malignant. Among72 cases,17 cases were diagnosed as ovarian cyst（ 20 lesions）,13 cases were diagnosed as ovarian cystic teratoma（ 15 lesions）,11 cases were diagnosed as ovarian cystadenoma（ 13 lesions）,5 cases were diagnosed as cystadenocarcinoma（ 9 lesions）,12 cases were diagnosed as ovarian endometrial ectopic cyst（ 17 lesions）,7 cases were diagnosed as pelvic cystic infectious mass（ 7 lesions）,7 cases were diagnosed as other diseases（ 15 lesions）. Conclusion： Multislice CT scan images show relatively clear characteristics of various pelvic cystic lesions,which has relatively high value in localization and qualitative diagnosis of female pelvic cystic lesions.
出处
《中国妇幼保健》
CAS
2015年第8期1270-1272,共3页
Maternal and Child Health Care of China
基金
湖北省科技厅科研项目〔2011CDC079〕
关键词
盆腔囊性病变
多层螺旋CT
鉴别诊断
Pelvic cystic lesion
Multislice CT
Differential diagnosis
