CAJ | 학술논문

目的探讨16层螺旋CT对女性盆腔多囊性病变的诊断价值.方法回顾性分析经手术及病理证实的62例女性盆腔多囊性病变的MSCT表现.结果本组62例83个病灶,CT术前准确定位55例(88.7％).其中卵巢囊腺瘤21例；卵巢囊肿7例；卵巢子宫内膜异位囊肿8例；卵巢畸胎瘤5例；输卵管积液3例；盆腔脓肿3例；盆腔包裹性积液1例；盆腔淋巴管瘤3例；子宫腺肌瘤1例；肠系膜囊肿6例；盆腔结核2例；脐尿管囊肿2例.CT准确判断病理组织类型49例(79.0％).结论 MSCT对女性盆腔多囊性病变的定位准确率高,对定性诊断亦具有重要价值,密切结合临床病史,可作出较准确的诊断.
목적 탐토16층라선CT대녀성분강다낭성병변적진단개치.방법 회고성분석경수술급병리증실적62례녀성분강다낭성병변적MSCT표현.결과 본조62례83개병조,CT술전준학정위55례(88.7％).기중란소낭선류21례；란소낭종7례；란소자궁내막이위낭종8례；란소기태류5례；수란관적액3례；분강농종3례；분강포과성적액1례；분강림파관류3례；자궁선기류1례；장계막낭종6례；분강결핵2례；제뇨관낭종2례.CT준학판단병리조직류형49례(79.0％).결론 MSCT대녀성분강다낭성병변적정위준학솔고,대정성진단역구유중요개치,밀절결합림상병사,가작출교준학적진단.
Objective To evaluate the diagnostic value of 16 slices spiral CT in female benign ovarian cystic masses.Methods 62 patients with multi-slice spiral CT (MSCT) surgically and pathologically proved benign cystic masses of ovarian were retrospectively analyzed.Results Among the 62 cases with 83 cystic masses,the accurate number of CT orientational diagnosis was 55 cases (88.7％).All cystic masses included following diseases:ovarian cystadenoma (21 cases),ovarian cyst (7 cases),ovarian endometrial cyst (8 cases),ovarian cystic teratoma (5 cases),tubal abscess or hydrosalpinx (3 cases),pelvic cystic infected mass (3 cases),pelvis encapsulated effusion (1 case),pelvic cavity lymphangioma (3 cases),adenomyosis (1 case),intestine and mesentery cysts (6 cases),pelvis tuberculosis (2 cases),urachal cys (2 cases),the accurate number of CT diagnosis of natural decision was 49 cases (79.0％).Conclusion MSCT has high accuracy in locating female pelvic cystic lesions and is valuable in getting qualitative diagnosis when tightly combined with the patients' clinical history.