摘要
目的:分析输卵管病变的CT影像学特点,探讨CT诊断该病的临床应用价值。方法:回顾性分析58例经手术、病理证实的输卵管病变的CT表现,并与腹腔镜、常规手术及病理结果对照分析。结果:CT诊断为输卵管积水20例,输卵管积脓8例,输卵管卵巢脓肿1例,输卵管扭转1例,输卵管妊娠5例,输卵管系膜囊肿7例,输卵管结核5例,输卵管癌1例;其中误诊10例,与手术病理对照,CT诊断准确率为83%(48/58)。结论:输卵管病变的CT表现具有一定的特征性,CT平扫表现为附件区迂曲管状囊性密度影,根据CT增强特点,密切结合临床并重视该病的影像学表现综合分析,可以作出明确诊断。
objective： Analysis of CT imaging characteristics of tubal pathological changes, to explore the clinical application value of CT in the diagnosis of the disease. Methods： 58 cases were confirmed by surgery and pathology was retrospectively analyzed the CT manifestation of tubal pathological changes, and with laparoscopic and conventional surgical and pathological results contrast analysis. Results： CT diagnosis of hydrosalpinx 20 cases, empyema 8 cases of fallopian tubes, oviduct ovarian abscess in 1 case, tubal torsion in 1 case, 5 cases of tubal pregnancy, mesosalpin. Conclusion： Tubal pathological changes have certain characteristic CT performance, CT scan as attachment area circuitry tubular cystic density, according to the characteristics of CT enhancement, closely combined with clinical and attaches great importance to the comprehensive analysis of the imaging manifestations of the disease, can make a definite diagnosis.
出处
《CT理论与应用研究（中英文）》
2017年第4期511-517,共7页
Computerized Tomography Theory and Applications
