腹盆腔CT检查对常见妇科急腹症的诊断价值  

Diagnostic value of CT in abdominal and pelvic examination for the common gynecologic acute abdomen

作　　者：陈川梅 魏忠荣[1] 陆建环[1] 

机构地区：[1]云南省玉溪市人民医院CT室,653100

出　　处：《实用医技杂志》2017年第9期953-955,共3页Journal of Practical Medical Techniques

摘　　要：目的分析常见妇科急腹症的CT表现,探讨其临床诊断价值。方法回顾性分析36例经手术病理证实的妇科急腹症的临床资料和CT征象。结果 36例病例中分别为输卵管妊娠破裂15例:盆腔积血,附件区见混合肿块内见低密度孕囊影;卵巢黄体破裂11例:其中4例附件区见边缘清楚的囊性病灶,7例囊性病灶内见血肿影;输卵管积脓6例:输卵管扩张呈蛇形扭曲;卵巢囊肿蒂扭转4例:增粗的蒂与扭转的肿瘤形成双肿物影。结论 CT快速、无创、大视野对常见妇科急腹症具有独特优势,可为其确诊及鉴别诊断提供客观、准确的依据。Objective To analyze CT findings of common gynecologic acute abdomen and explore the diagnostic value. Methods Retrospective analyzed the clinical data and CT findings of gynecologic acute abdomen in 36 cases within confirmed by surgery and pathologically. Results There were 15 cases of ruptured of tubal pregnancy in all cases, the findings of CT included： pelvic hematocele, and showing low-density pregnant bursa within mixed-density masses in adnexa area; there were 11 cases of ruptured of corpus luteum cyst, showing a clear edge cystic nidus in adnexa area in 4 eases of them, and showing hematocele in cystic nidus in 7 cases of them; there were 6 cases of empyema of tubal, showing the dilated and serpentine tubal; there were 4 cases of pedicle torsional of ovarian cyst, showing the ＂double masses＂ was made up of the thickening pedicel and the torsional ovarian tumors. Conclusion MSCT is convenient, easy, it has an unique advantages in the diagnosis of common gynecologic acute abdomen, and can provide an objective, accurate proof for the diagnosis and differential diagnosis.

关 键 词：体层摄影术 X线计算机 妇科 急腹症 诊断 

分 类 号：R711[医药卫生—妇产科学]