妇科恶性肿瘤术后盆腔淋巴囊肿的CT、MRI诊断.pdf

医学影像学杂志Z013年第23卷第8期JMed V01．23No．82013 Imaging 妇科恶性肿瘤术后盆腔淋巴囊肿的CT、MRI诊断 王汉杰，沈爱军，段书峰 (江苏省南通市肿瘤医院放射科江苏南通226361) 【摘 要】 目的研究盆腔淋巴囊肿的影像特征。方法 回顾性分析经穿刺化验及临床随访证实的51例共68个淋巴 见“桃尖征”。骑跨髂外血管内侧缘或外侧缘的多呈葫芦形、哑铃形、肾形、u形联通管状。囊肿边缘光滑清晰，囊液为水 样密度或信号。CT增强囊壁轻度强化，囊壁显示欠清；MRI增强囊壁及囊内分隔呈中等度强化．囊壁均匀光滑．囊内容 物无强化。结论CT及MRI能清晰显示盆腔淋巴囊肿分布特点、形态学特征、典型的密度、信号及强化表现，结合妇科 恶性肿瘤手术病史可对盆腔淋巴囊肿做出正确诊断。 【关键词】盆腔；淋巴囊肿；体层摄影术，X线计算机；磁共振成像 中图分类号：R551．2；R814．42；R445．2文献标识码：A 文章编号：1006—9011(2013)08—1272—04 CTandMRI of in with carcinoma diagnosispostoperativepelviclymphocystpatientsgynecologic WANG Han-jie，SHENAi—jun，DUANShu—feng Tumor 226361，P．R．China DepartmentofRadiology，NangtongHospital，Jiangsu To theCTandMRImanifestationsof CTandMRI of study pelvic findings [Abstract]Objective lymphocyst．Methods 68 thatwere orclinical in51 were ana—‘ pelviclymphocystsprovedbypuncture follow—-upstudy patientsretrospectively ResultsAll68 were in area theiliac Ofthe68 lyzed． lymphocystspresentedpelvicextrape“tonealnearby vessels． lym— werearoundtheexternaliliacvessels．Ofthe52 thatwereinfrontoforbehindtheexternaliliae phocysts，65 lymphocysts wereroundorovalin thatwereinfrontoftheexternaliliacvessels vessels，51 shape，and33．3％(13／39)lymphocysts wereofthe likethe ofthe thatrodeonthemedialorlateralborderoftheexternaliliac shape tip peach．Thelymphocysts were orUclosedtubein ofall weresmoothand vesselsgourd，dumbbell，kidneyshape．Theedge lymphocysts clear，a