摘要
目的回顾性分析输卵管妊娠的CT表现,以提高CT诊断水平。方法收集经手术病理确诊的11例输卵管妊娠的临床和CT资料,观察输卵管妊娠的CT表现,包括病灶的位置、形态、大小、密度、边界及周围组织情况,总结其CT特征。结果11例输卵管妊娠分别位于壶腹部(n=6)、峡部(n=2)、间质部(n=2)和伞端(n=1)。手术发现输卵管破裂(n=10)和活动性出血(n=11)。输卵管妊娠CT主要表现为宫旁单发类圆形肿块(n=7),密度呈囊性(n=2)或囊实性(n=5),直径大小约21~61mm。灶周可见低/等/高密度积血围绕(n=7),附件结构显示不清(n=11),盆腹腔积血积液(n=11)。子宫轮廓观察不清(n=2)。子宫体积增大(n=1)。结论输卵管妊娠CT表现为输卵管行程区囊性/囊实性病灶,孕囊呈环形厚壁或壁不完整,并盆腔积血。熟悉输卵管妊娠CT表现可提高影像医师对其诊断的警惕性。
Objective To retrospectively analyze the CT manifestations of tubal pregnancy to improve the level of CT diagnosis of tubal pregnancy.Methods The clinical and CT data of 11 patients with tubal pregnancy confirmed by surgery and pathology were collected.To summarize the CT characteristics,including the lesion location,shape,size,density,boundary,and surrounding tissues.Results The lesions of tubal pregnancy were located in ampulla(n=6),isthmus(n=2),interstitial(n=2)and fimbria(n=1).Tubal rupture(n=10)and active bleeding(n=11)were observed during the operation.The shape of the lesions was round(n=7).The density was cystic(n=2)and cystic solid density(n=5).The masses were located parauterine.The diameter of the lesions was about 21~61mm.The low/equal/high-density hematoma was observed around the lesions(n=7).The accessory structure was not clear(n=11).Hemoperitoneum and effusion in the pelvic cavity(n=11)were observed.The uterine contour was not clear(n=2).The uterine volume was increased(n=1).Conclusion The CT findings of tubal pregnancy include a tubal cystic structure with a thick wall or irregular and massive hemoperitoneum.Being familiar with the CT findings of tubal pregnancy can improve the vigilance of imaging physicians in diagnosing tubal pregnancy.
作者
郭宝文
王明璐
牛成
徐梓权
尹潇
黄钟杰
GUO Bao-wen;WANG Ming-lu;NIU Cheng;XU Zi-quan;YIN Xiao;HUANG Zhong-jie(Department of Radiology,the First Affiliated Hospital of Shantou University Medical College,Shantou 515041,Guangdong Province,China;Department of Radiology,the Glory Hosptial of the First Affiliated Hospital,Shantou University Medical College,Shantou 515041,Guangdong Province,China;Shantou University Medical College,Shantou 515041,Guangdong Province,China;Department of Radiology,Maternal and Child Hospital of Longhua district,Shenzhen 518109,Guangdong Province,China)
出处
《罕少疾病杂志》
2021年第1期51-52,共2页
Journal of Rare and Uncommon Diseases
关键词
异位妊娠
输卵管
诊断
X线计算机
体层摄影术
Ectopic Pregnancy
Fallopian Tube
Diagnosis
X-ray Computer
Tomography
