中华疝和腹壁外科杂志（电子版）
中華疝和腹壁外科雜誌（電子版）
중화산화복벽외과잡지（전자판）
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2014年
4期
354-355
,共2页
子宫内膜异位症%腹壁%体层摄影术,螺旋计算机
子宮內膜異位癥%腹壁%體層攝影術,螺鏇計算機
자궁내막이위증%복벽%체층섭영술,라선계산궤
Endometriosis%Abdominal wall%Tomography,spiral computed
目的：探讨CT对腹壁子宫内膜异位症的临床诊断价值。方法回顾性分析2011年6月至2013年12月，河北省玉田县医院收治的腹壁子宫内膜异位患者23例。通过术前的CT检查，辅助手术切除治疗。结果 CT扫描发现，本组23例患者，单个肿块14例，多个肿块9例。肿块最小0．9 cm ×1．6 cm，最大5．1 cm ×3．0 cm。肿块均位于腹壁切口瘢痕下方，位于皮下脂肪层12例，腹壁切口肌层内7例，肌层与壁层腹膜4例。实块型肿块3个，囊肿型肿块14个，囊实混合性6个。手术后23例患者症状基本消失。手术时间35～70 min，平均住院时间（6±2）d，预后较好，切口均甲级愈合。结论 CT对子宫内膜异位症的准确位置以及对周围组织的浸润情况具有较高的临床诊断价值，有助于子宫内膜异位症手术的顺利进行，值得临床推广。
目的：探討CT對腹壁子宮內膜異位癥的臨床診斷價值。方法迴顧性分析2011年6月至2013年12月，河北省玉田縣醫院收治的腹壁子宮內膜異位患者23例。通過術前的CT檢查，輔助手術切除治療。結果 CT掃描髮現，本組23例患者，單箇腫塊14例，多箇腫塊9例。腫塊最小0．9 cm ×1．6 cm，最大5．1 cm ×3．0 cm。腫塊均位于腹壁切口瘢痕下方，位于皮下脂肪層12例，腹壁切口肌層內7例，肌層與壁層腹膜4例。實塊型腫塊3箇，囊腫型腫塊14箇，囊實混閤性6箇。手術後23例患者癥狀基本消失。手術時間35～70 min，平均住院時間（6±2）d，預後較好，切口均甲級愈閤。結論 CT對子宮內膜異位癥的準確位置以及對週圍組織的浸潤情況具有較高的臨床診斷價值，有助于子宮內膜異位癥手術的順利進行，值得臨床推廣。
목적：탐토CT대복벽자궁내막이위증적림상진단개치。방법회고성분석2011년6월지2013년12월，하북성옥전현의원수치적복벽자궁내막이위환자23례。통과술전적CT검사，보조수술절제치료。결과 CT소묘발현，본조23례환자，단개종괴14례，다개종괴9례。종괴최소0．9 cm ×1．6 cm，최대5．1 cm ×3．0 cm。종괴균위우복벽절구반흔하방，위우피하지방층12례，복벽절구기층내7례，기층여벽층복막4례。실괴형종괴3개，낭종형종괴14개，낭실혼합성6개。수술후23례환자증상기본소실。수술시간35～70 min，평균주원시간（6±2）d，예후교호，절구균갑급유합。결론 CT대자궁내막이위증적준학위치이급대주위조직적침윤정황구유교고적림상진단개치，유조우자궁내막이위증수술적순리진행，치득림상추엄。
Objective To investigate clinical diagnostic value of computerized tomography (CT) examination for endometriosis of abdominal wall.Methods A total of 23 patients with endometriosis of abdominal wall who were admitted to Hebei Yutian Hospital from June 201 1 to December 201 3,were enrolled into the retrospective analysis.All patients received perioperative CT scan,and then surgical resections were performed.Results The results of CT scan revealed that there were 1 4 cases of single mass and 9 cases of multiple masses in whole group (23 patients).The size of mass ranged from minimum of 0.9 cm ×1 .6 cm,to maximum of 5.1 cm ×3.0 cm.All masses were located below the abdominal wall wound scar,including 1 2 cases in the subcutaneous fat layer,7 cases in muscle layer of abdominal wall wound,and 7 cases between muscle and parietal peritoneum.Solid mass was observed in 3 cases,cystic mass in 1 4 cases,and mixed mass in 6 cases.The symptoms of all 23 patients almost disappeared after operation.The operation time was 35 to 70 minutes,and the average length of stay was (6 ±2)days.The prognosis of patients were good,and the wound healed well.Conclusions CT examination has high clinical diagnostic value for accurate position of endometriosis or its infiltration to surrounding tissues.The operation of endometriosis would be greatly improved with CT scan,which is worthy to be popularized.
