卵巢良性囊性病变的多层螺旋CT诊断  

MSCT in diagnosis of benign ovarian cystic lesions

作　　者：宋庆轮[1] 张聪[2] 李文[3] 方宏洋[1] 周生林[1] 

机构地区：[1]中国人民解放军第452医院医学影像科,四川成都610061 [2]中国人民解放军第452医院外科整形中心,四川成都610061 [3]中国人民解放军第452医院妇产科,四川成都610061

出　　处：《实用放射学杂志》2012年第7期1066-1068,1074,共4页Journal of Practical Radiology

摘　　要：目的探讨卵巢良忡囊性病变的多层螺旋CT表现及诊断。方法回顺性分析31例经手术病理证实的卵巢良性囊性病变CT表现，全部病例均行平扫及增强扫描，采用多平面重组（MPR）技术，行横断面、冠状面、矢状面重建，重点观察病变的形态、大小、密度、囊壁厚度、有无壁结节、有无强化等。结果卵巢34例病变中，囊腺瘤10例，双侧2例；巧克力囊肿5例，双侧2例；畸胎瘤3例，均为单侧；单纯囊肿8例；双侧3例；功能性囊肿8例，双侧2例。结论卵巢良性囊性病变种类较多，诊断较困难，部分病变具有特征性，CT多平面重建有助于更清楚显示病变。Objective To evaluate MSCT in diagnosis of benign ovarian cystic lesions . Methods Thirty four cases with benign ovarian cystic lesions confirmed by pathology underwent MSCT examination,including plain and contrast-enhanced scans. Tbe image data were reconstructed at axial,coronal and sagittal plans. CT findings including shape,density, thickness of the cystic wall,and in tensified pattern of lesions were analysed. Results In 34 cases ,there were ovarian cystadenomas in 10 cases（bilateral in 2） ,ovarian endometrial cysts in 5 （bilateral in 2） ,ovarian cystic teratomas in 3, simple ovarian cysts in 8 （bilateral in 3）, and functional cysts in 8 （bilateral in 2）. Conclusion Benign ovarian cystic lesions are miscellaneous and difficult to diagnose. CT finding are of certain characteristics in partial lesions,CT is useful in diagnosing these lesions.

关 键 词：卵巢 囊性病变 体层摄影术 X线计算机 

分 类 号：R711.76[医药卫生—妇产科学] R814.42[医药卫生—临床医学]