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作 者:杨朝红 张繁 麻舒琳 云惟健 凌坚[2] 王荣靖 关键[2] YANG Zhaohong;ZHANG Fan;MA Shulin;YUN Weijian;LING Jian;WANG Rongjing;GUAN Jian(Department of Radiology,Fuzhou Second General Hospital,Fuzhou 350007,China;Department of Medical Imaging,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)
机构地区:[1]福州市第二总医院放射科,福建福州350007 [2]中山大学附属第一医院医学影像科,广东广州510080
出 处:《中国医学影像技术》2025年第3期434-438,共5页Chinese Journal of Medical Imaging Technology
基 金:福州市“十四五”临床专科培强培优培育建设项目(20220302)。
摘 要:目的观察Fitz-Hugh-Curtis综合征(FHCS)CT表现。方法回顾性收集23例FHCS,观察其腹盆腔平扫及增强CT表现。结果23例CT均见盆腔炎、腹膜炎与肝周围炎及腹盆腔粘连。盆腔炎主要表现为盆腔积液(23/23,100%)、子宫及附件炎性改变(17/23,73.91%);后者包括8例(8/17,47.06%)输卵管增粗及9例(9/17,52.94%)输卵管囊状扩张积液,其中8例(8/9,88.89%)伴卵巢增大、1例(1/9,11.11%)伴子宫表面结节。腹膜炎主要表现为腹膜增厚(23/23,100%)及腹膜结节(15/23,65.22%),肝周围炎要表现为肝包膜强化(23/23,100%)、肝包膜下一过性灌注异常(16/23,69.57%)、肝周积液(20/23,86.96%)及肝周“琴弦征”(16/23,69.57%);均未累及肝裸区。23例中,3例(3/23,13.04%)伴机械性肠梗阻,19例(19/23,82.61%)伴肠系膜或腹膜后淋巴结增大呈均匀强化或环形强化。结论FHCS主要CT表现包括盆腔炎、腹膜炎与肝周围炎及腹盆腔粘连,且具有一定特征性。Objective To observe CT manifestations of Fitz-Hugh-Curtis syndrome(FHCS).Methods Data of 23 patients with FHCS were retrospectively analyzed,and non-enhanced and enhanced abdominal and pelvic CT manifestations were observed.Results All 23 cases were found with pelvic inflammation,peritonitis,perihepatic inflammation,as well as abdominal and pelvic adhesion.The main manifestations of pelvic inflammation included pelvic effusion(23/23,100%),inflammatory changes of uterus and accessories(17/23,73.91%),and the latter presented as tubal thickening(8/17,47.06%)or tubal cystic dilatation and effusion(9/17,52.94%),with ovarian enlargement(8/9,88.89%)or nodules on uterine surface(1/9,11.11%).The main CT manifestations of peritonitis were peritoneal thickening(23/23,100%)and peritoneal nodules(15/23,65.22%),of perihepatic inflammation were mainly liver capsule enhancement(23/23,100%),subcapsular transient perfusion abnormality(16/23,69.57%),perihepatic effusion(20/23,86.96%)and perihepatic"violin-string sign"(16/23,69.57%).No inflammation in the bare area of liver was noticed.Among 23 cases,3 cases(3/23,13.04%)complicated with mechanical ileus,19 cases(19/23,82.61%)were accompanied by mesenteric or retroperitoneal lymph nodes enlargement with uniform or circular enhancement.Conclusion The main CT manifestations of FHCS included pelvic inflammation,peritonitis,perihepatic inflammation,as well as abdominal and pelvic adhesion,having certain characteristics.
关 键 词:Fitz-Hugh-Curtis综合征 体层摄影术 X线计算机
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