CAJ | 학술논문

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。
목적：탐토다배라선CT재자궁기류적림상응용개치。방법회고분석30례경수술급병리증실적자궁기류적CT표현，전부병례균행평소급증강소묘，재공작참채용다평면중건（multiplanar reconstruction,MPR）기술，행횡단、관면、시상면중건。결과단발자궁기류28례，다발자궁기류2례，30례환자공발현병조45개，기중발생우장막하8개，기벽간33개，점막하2개，활인대2개。CT표현위실질성종괴30개，낭실성종괴15개，증강소묘기류균균강화，강화정도저우자궁30개，불균균성강화15개。결론다배라선CT소묘결합다평면중건기술대자궁기류적진단급감별진단구유교고적개치。
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 wel as differentiating diagnosis.