摘要
目的分析盆腔结核的CT及MRI表现,探讨MSCT联合MRI及增强扫描对盆腔结核包块的定性和定位价值。方法选取我院经腹水病理活检或手术证实的盆腔结核肿块20例,有完整的CT、MRI及增强扫描图像。结果 20例患者当中,CA125均有不同程度的增高,CA19-9升高的有5例,CT及MRI表现为囊性者6例,囊实性者11例,实性者3例,均有不同程度腹水表现,腹膜不同程度的线状、结节状增厚有15例,淋巴结肿大的有10例,术前CT误诊7例,MRI6例。结论通过MSCT以及MRI征象的综合分析,能提高盆腔结核肿块诊断符合率,尽可能为临床提供更多信息,从而减轻盆腔肿块患者的心理负担和压力。
Objective To discuss the value of CT combined with MRI in defining the localization and qualitative diagnosis of female pelvic tuberculosis mass. MMeetthhooddss A total of 20 cases of pelvic tuberculosis mass patients which confirmed by pathology were enrolled in our study, all cases underwent CT and MRI scans. Results Cancer antigen 125（CA125） in serum increased in all patients in varying degrees, cancer antigen CA199（CA199） increased in 5 cases. There were 6 cases with complete cystic changes, and 11 cases were cystic-solid masses, 3 cases were solid mass. All the cases showed different degree of ascites. And there were 15 cases with varying degrees of peritoneal thickening, or linear, nodular shape of tihckening. Lymph nodes enlargement were found in 10 cases, and 7cases were misdiagnosed by CT while 6cases were misdiagnosed by MRI. Coonncclluussiioonn With a comprehensive analysis of MSCT combined with MRI, we can improve the accuracy rate in the diagnosis of pelvic tuberculosis mass, and can provide more information for clinic to alleviate the psychological burden and pressure of patients with pelvic tuberculosis mass.
出处
《中国CT和MRI杂志》
2016年第3期94-95,116,共3页
Chinese Journal of CT and MRI
关键词
断层摄影术
X线计算机
结核
磁共振成像
盆腔肿瘤
Comtuped Tomography（CT）
Tuberculosis
Magnetic Resonance Imaging
Pelvic Tumor
