卵巢子宫内膜异位囊肿的CT诊断.pdfVIP

· 914· 结床{lI；乏像 · —Medical Inf—ormation Se—ctio—n of Operative Surgery．Oct．2007．Vo1．20．No．10 · 卵巢子宫内膜异位囊肿的CT诊断 刘爱光，张希中，王清华，李奋保，杨瑞民，张铭秋 (新乡医学院第一附属医院，河南卫辉453100) 摘要：目的 分析卵巢子宫内膜异位囊肿的cT表现，提高cT的诊断及鉴别诊断能力。方法 回顾性分 析经手术和病理证实的64例81个卵巢子宫内膜异位囊肿。结果 囊肿直径2—12 cm，平均5．8 cm，囊肿边 缘光滑l4个，与周边粘连67个；囊液密度19～50 HU，平均32 HU。增强后囊肿壁呈轻中度强化14个，明显强 化3个。结论 cT能较大程度地显示卵巢子宫内膜异位囊肿的形态学特征，熟悉和掌握这些形态学特征是提 高诊断正确率、避免误诊的关键。 关键词：卵巢；内膜异位囊肿；体层摄影；X线计算机 中图分类号：R711．71 文献标志码：A 文章编号：1006—1959(2007)10—0914—02 CT diagnosis of ovadan endometrioma LIU Ai—guang，ZHANG Xi—zhong，LI Fen—bao，et al (Department of Imaging and Interventional Center，山e First Affiliated Hospital of Xinxiang Medical University．weihui 453100，Henan Province，China) Abstract：Objective To improve the diagnostic accuracy of ovarian endometrioma and to discriminate it from other adnexal masses by analyzing its CT manifestations．Methods The CT images of 64 patients with 81 ovarian endo． metriomas proved by pathology were studied retrospectively．Results The cysts ranged in diameter from 2 to 12 cm with the mean size of 5．8 cm．The margins of the cyst were smooth in 14 and adhered with perimeter in 67 endometri． omas．The density of the cyst fluid varied from 19—50 HU with the mean of 32 HU．It was found山at 14 cysts walls showed sli ght Or intermediate enhancement and 3 demonstrated significant enhancements．Conclusions The certain morphologic characteristics of the ovarian elldometrioma can be showed by CT to hiSher extent．It is critical to be famil． iar with these characteristics to improve the diagnostic accuracy，and to avoid misdiagnosis． Key words：ovary；endometrioma；tomography；X—ray computed 卵巢子宫内膜异