多排螺旋CT多平面重建在子宫肌瘤的应用.docVIP

精品论文 参考文献 多排螺旋CT多平面重建在子宫肌瘤的应用 覃宗波 归俊 叶俊 归云荣 　　(钦州市第二人民医院放射科 广西钦州 535000） 　　【摘要】目的 探讨多排螺旋CT在子宫肌瘤的临床应用价值。方法 回顾分析30例经手术及病理证实的子宫肌瘤的CT表现，全部病例均行平扫及增强扫描，在工作站采用多平面重建（multiplanar reconstruction,MPR）技术，行横断、冠面、矢状面重建。结果 单发子宫肌瘤28例，多发子宫肌瘤2例，30例患者共发现病灶45个，其中发生于浆膜下8个，肌壁间33个，黏膜下2个，阔韧带2个。CT表现为实质性肿块30个，囊实性肿块15个，增强扫描肌瘤均匀强化，强化程度低于子宫30个，不均匀性强化15个。结论 多排螺旋CT扫描结合多平面重建技术对子宫肌瘤的诊断及鉴别诊断具有较高的价值。 　　【关键词】子宫 子宫肌瘤 体层摄影术 X线计算机 　　【中图分类号】R730.4 【文献标识码】A 【文章编号】2095-1752（2014）01-0099-02 　　The application of MSCT multiplanar rescontruction in hysteromyoma 　　QIN Zong--bo,GUI Jun,YEJun,GUI Yun--rong 　　(Department of Radiology, No.2 Hospital of Qinzhou City, Qinzhou, Guangxi Province 535000,China) 　　【Abstract】 To evaluate the clinical application value of MSCT in hysteromyoma. Methds Thirty cases with hysteromyomas confirmed by pathology underwennt MSCT examination,including plain and contrast-enhanced scans. The image data were reconstructed at axial,conronal and sagittal plans in workstation.. Results the 30 cases of hysteromyoma in CT performance, 28 single and 2 multiple；45 lesions were found in the 30 cases , involving the subserosal layer(n=8), intramural region(n=33), submucous layer(n=2), broad ligament(n=2). On enhanced scan, 30 of tumors were homogeneous enhanced with lower reinforcement levels than uterus and 15 were inhomogeneous. Conclusion Multi-mode multi-slice spiral CT scan in combination with mutiplanar reconstruction is of great value in the diagnosis of hysteromyoma as well as differentiating diagnosis. 　　【Key words】hystera hysteromyoma tomogrpahy X-ray computed 　　子宫平滑肌瘤是女性生殖器官最常见的良性肿瘤。主要由平滑肌细胞增生而成，故又称子宫平滑肌瘤。以往CT诊断以横断面为主，难以满意显示病变的整体情况。本文回顾性分析2012-01—2012-12 在本院30例经手术、病理证实的各型子宫肌瘤并采用64多排螺旋CT多平面重建技术（multiplanar reconstruction, MPR)行横断面、冠状面、矢状面结合以探讨多层螺旋CT对本病的诊断的应用价值。 　　1 资料与方法 　　1.1 临床资料 30例病人年龄33-65岁，平均年龄43岁。体检B超发现子宫占位10例，主诉月经增多伴下腹坠胀10例，自扪下腹包块就诊2例，阴道流血3例，下腹胀痛伴盆腔包块5例。病史7天～3年不等。 　　1.2 CT检查方法 采用Philips Brilliance