附件扭转多层螺旋CT特征及手术病理对照  

MSCT features of adnexal torsion:comparison with surgical and pathological results

作　　者：李光明[1] 王俊英 孙小会[1] 李立青 黄俊毅[1] 王钟灵[1] LI Guangming;WANG Junying;SUN Xiaohui;LI Liqing;HUANG Junyi;WANG Zhongling(PET/CT Center , the Sixth Affiliated Hospital of Guangzhou Medical University , Qingyuan People's Hospital ,Qingyuan 511518 ,China)

机构地区：[1]广州医科大学第六附属医院清远市人民医院PET/CT中心,广东清远511518

出　　处：《实用放射学杂志》2019年第8期1279-1281,1302,共4页Journal of Practical Radiology

摘　　要：目的探讨附件扭转MSCT的特征,提高对本病的影像学认识。方法收集42例经手术病理证实附件扭转病例的临床和CT资料,结合病理结果回顾性分析CT表现。结果 42例中,左侧病变15例,右侧病变27例,均为单侧扭转,扭转程度180°~1 800°(531.43°±289.29°)。良性病变39例(39/42,92.9%),恶性或交界性病变3例(3/42,7.1%),其中输卵管来源7例(7/42,16.7%),卵巢来源35例(35/42,83.3%)。病变大小4.0~20 cm(11.02 cm±4.44 cm)。囊性或囊实性病变39例(39/42,92.9%);实性病变3例(3/42,7.1%)。扭转血管蒂CT值40~83 HU(59.83 HU±10.43 HU)。卵巢肿大13例(13/42,31.0%)。盆腔积液11例(11/42,26.2%)。子宫偏向患侧28例(28/42,66.7%)、偏向对侧9例(9/42,21.4%)和未发生偏移5例(5/42,11.9%)。结论血管蒂扭转伴出血、囊性或囊实性病变伴囊壁增厚和子宫偏移是附件扭转的MSCT特征。Objective To explore the MSCT features of the adnexal torsion,to improve the imaging understanding of the disease.Methods The clinical and CT data of 42 patients with adnexal torsion confirmed by surgery and pathology were collected,and the CT findings were analyzed retrospectively in combination with pathological results.Results All 42 cases (15 lesions on the left side and other 27 on the right side) had unilateral torsion,with the torsion degree ranged from 180°to 1 800°and the mean of (531.43°±289.29°). The lesions were benign in 39 cases (39/42,92.9%) and malignant or borderline in 3 (3/42,7.1 %), including 7 fallopian tube lesions (7/42,16.7%) and 35 ovarian ones (35/42,83.3%).The lesion size ranged from 4.0 cm to 20 cm with the mean of (11.02 cm±4.44 cm). 39 lesions (39/42,92.9%) were cystic or cystic-solid lesions and other 3 were solid (3/42,7.1 %).The CT value of torsional vascular pedicle ranged from 40 HU to 83 HU with the mean of (59.83 HU± 10.43 HU),and the ovarian was enlarged in 13 cases (13/42,31.0%). 11 cases were found with pelvic effusion (11/42,26.2%).The uterine shifted to the ipsilateral side in 28 cases (28/42,66.7%),to the other side in 9 cases (9/42,21.4%),and did not shift in 5 cases (5/42,11.9%(.Conclusion Vascular pedicle torsion with hemorrhage,cystic or cystic-solid lesions with thickening of the cystic wall and shifting uterine are the characteristics of MSCT of adnexal torsion.

关 键 词：附件扭转 计算机体层成像 病理学 

分 类 号：R711.33[医药卫生—妇产科学] R814.42[医药卫生—临床医学]