女性盆腔囊性肿块超声、CT表现与术后病理对照分析  

Ultrasonographic and CT Findings of Female Pelvic Cystic Mass were Compared with Postoperative Pathology

作　　者：赵秀娜 张翠珠[1] 顾健伟 李亮[1] ZHAO Xiu-na;ZHANG Cui-zhu;GU Jian-wei(Department of Ultrasound,Shenyang Maternal and Infant Hospital,Shenyang 110011,Liaoning Province,China)

机构地区：[1]辽宁省沈阳市妇婴医院超声科,辽宁沈阳110011

出　　处：《中国CT和MRI杂志》2020年第2期109-112,共4页Chinese Journal of CT and MRI

摘　　要：目的旨在探讨超声及多层螺旋CT在女性盆腔囊性肿块中的应用价值。方法整理分析2014年5月至2018年1月我院98例女性盆腔囊性肿块患者的临床、影像学,分析不同检查方式对女性盆腔囊性肿块的诊断正确符合率及影像表现。结果卵巢巧克力囊肿超声示圆形或椭圆形低或无回声肿块影,MSCT平扫示囊腔内有条纹状高密度影或囊壁不均匀性软组织样密度。增强示囊腔均无增厚现象。囊实性卵巢囊肿超声示囊壁乳头状区域可见彩色血流信号。MSCT平扫示囊壁薄且均匀,增强囊肿内部均未见强化。子宫肌瘤囊性病变超声有假包膜,有血流信号包绕肌瘤肿块。MSCT平扫示肌瘤肿块密度低于正常子宫肌层或与其接近。增强示囊性肿块表现为不同程度强化。卵巢囊腺瘤超声示非均匀囊壁增厚,囊壁乳头状区域可见彩色血流信号。MSCT平扫示囊实性和巨大囊性病灶。增强可见巨大多房囊性肿块,各房内密度不均匀,囊壁实性区域呈明显强化表现。结论 MSCT对女性盆腔囊性肿块的检出率和诊断符合率均更高,可更清晰的显示病灶结构和其周围组织情况,但超声检查对肿块血流情况可较好的显示,故将超声联合MSCT联合检查更有利于提高临床医生对女性盆腔囊性肿块的诊断。Objective To investigate the application value of ultrasound and multi-slice spiral CT in female pelvic cystic masses. Methods The clinical cases and imaging data of 98 female patients with pelvic cystic masses from May 2014 to January 2018 were retrospectively analyzed. The accuracy of different examinations in the diagnosis of female pelvic cystic masses and the imaging features were analyzed. Results Ultrasound examination of chocolate cyst of ovary showed round or elliptical mass shadows with low or no echo, MSCT plain scan showed streaky and high-density shadow in the cystic cavity, and showed uneven density like soft tissue in cyst wall, The enhanced scanning showed that there were no thickening in the cavity of cysts. Ultrasound examination of cystic and solid ovarian cysts showed color blood stream signals were seen in the papillary region of the cyst wall. MSCT plain examination showed that the cyst wall was thin and uniform, and enhanced scanning all showed no obvious enhancement inside cysts. Ultrasound examination of cystic lesions of uterine fibroids showed pseudo-envelope and a blood stream signal surrounding the mass. MSCT plain scan showed that density of the mass of uterine fibroids was lower than or close to that of the normal myometrium. And enhanced scanning showed that the cystic mass showed enhancement with different degrees, and the color blood stream signal was visible in the papillary region of the cyst wall. MSCT plain scan showed solid and giant cystic lesions. Further enhanced scanning showed giant multilocular cystic mass, and the density in each room was uneven, and the parenchymal region of the cyst wall showed obvious enhancement. Conclusion MSCT has higher detection rate and diagnostic accuracy for female pelvic cystic masses, which can clearly show the structure of the lesion and its surrounding tissue, but the ultrasound examination can show the blood stream of the tumor better. Therefore, the ultrasound combined with MSCT is more beneficial for clinicians to improving the diagn

关 键 词：女性盆腔囊性肿块 超声 多层螺旋CT 诊断价值 病理对照 

分 类 号：R445.1[医药卫生—影像医学与核医学] R445.3[医药卫生—诊断学]