出血梗死型卵巢肿瘤蒂扭转MSCT表现  

MSCT features of torsion of ovarian tumor with hemorrhagic infarction

作　　者：孟砺实 杨正强[2] 胡东劲[1] 严建春[1] 张卫东[1] 

机构地区：[1]江苏省镇江市第四人民医院影像科,江苏镇江212001 [2]南京医科大学第一附属医院介入放射科,江苏南京210029

出　　处：《医学影像学杂志》2016年第12期2272-2276,共5页Journal of Medical Imaging

摘　　要：目的探讨出血梗死型卵巢肿瘤蒂扭转MSCT表现特点。方法选取我院经手术病理证实的出血梗死型卵巢肿瘤蒂扭转患者13例,回顾性分析其MSCT特征。结果 13例扭转肿瘤中囊性肿瘤12例,1例实性肿瘤;囊壁向心性增厚2例,偏心性增厚5例,13例输卵管均增粗,2例卵巢增大;13例输卵管、6例囊性肿瘤壁及2例卵巢基质平扫CT值大于50HU;13例患者有9例行增强扫描均未见明显强化;子宫偏向扭转侧7例;13例扭转蒂周围脂肪间隙均见不同程度渗出。结论出血梗死型卵巢肿瘤蒂扭转MSCT表现具有特征性,正确认识可减少误诊及漏诊。Objective To explore MSCT features of torsion of ovarian tumor with hemorrhagic infarction. Methods CT manifestations of torsion of ovarian tumor with hemorrhagic infarction in 13 cases proven by surgery and pathology were analyzed retrospectively. Results The 12 cases of twisted ovarian tumors were cystic and 1 case was solid. Eccentric wall thickening was noted in 5 cases and concentric wall thickening was noted in 2 cases. The fallopian tube thickening was seen in all 13 cases. Enlarged ovary was seen in 2 cases. The CT value of routine scan was more than 50 HU in 13 tubes, 6 cystic walls and 2 ovary essences. Lack of the enhancement in all 9 cases was seen after injecting contrast agent. The 7 cases of the uterus were shown to deviate to the twisted side. Conclusion CT manifestations of torsion of ovarian tumor with hemorrhagic infarction have some characteristic. To correctly understand these reduce the missed diagnosis and misdiagnosis.

关 键 词：卵巢肿瘤 扭转 体层摄影术 X线计算机 

分 类 号：R737.31[医药卫生—肿瘤] R814.42[医药卫生—临床医学]