中国民康医学
中國民康醫學
중국민강의학
MEDICAL JOURNAL OF CHINSEE PEOPLE HEALTH
2014年
8期
10-13
,共4页
宫外孕,输卵管%体层摄影术,X线计算机
宮外孕,輸卵管%體層攝影術,X線計算機
궁외잉,수란관%체층섭영술,X선계산궤
Ectopic pregnancy%Fallopian tube%Tomography%X-ray computer
目的：认识宫外孕的CT表现。方法：回顾性分析经手术、病理证实的33例宫外孕患者的CT表现，其中右侧输卵管壶腹部妊娠破裂患者20例，并左侧输卵管慢性炎症患者5例，失血性贫血患者8例；左侧输卵管妊娠破裂患者11例；左侧输卵管妊娠未破裂患者2例。年龄为17~39岁，平均年龄为25岁。结果：31例输卵管妊娠破裂者主要CT表现：①附件区见混杂密度包块，内有CT值为10~30Hu的孕囊及胚胎组织影，周围有大小不等的CT值为70~100Hu的积血影。②子宫周围见CT值为70~100Hu的积血影。③子宫直肠隐窝内见CT值为70~100Hu的积血影或CT值为10~30Hu的积液影。榆子宫稍大或形态、大小未见明显异常。2例输卵管妊娠未破裂者CT表现：仅附件区见一直径1.0~3.0cm的CT值为10~30Hu的孕囊及胚胎组织影。结论：临床表现、体征、妊娠实验典型者CT常可对宫外孕进行正确诊断；对症状不典型者，综合CT图像上病灶部位、形态及密度改变、病变的范围及邻近结构的变化，亦可提出宫外孕破裂的诊断。
目的：認識宮外孕的CT錶現。方法：迴顧性分析經手術、病理證實的33例宮外孕患者的CT錶現，其中右側輸卵管壺腹部妊娠破裂患者20例，併左側輸卵管慢性炎癥患者5例，失血性貧血患者8例；左側輸卵管妊娠破裂患者11例；左側輸卵管妊娠未破裂患者2例。年齡為17~39歲，平均年齡為25歲。結果：31例輸卵管妊娠破裂者主要CT錶現：①附件區見混雜密度包塊，內有CT值為10~30Hu的孕囊及胚胎組織影，週圍有大小不等的CT值為70~100Hu的積血影。②子宮週圍見CT值為70~100Hu的積血影。③子宮直腸隱窩內見CT值為70~100Hu的積血影或CT值為10~30Hu的積液影。榆子宮稍大或形態、大小未見明顯異常。2例輸卵管妊娠未破裂者CT錶現：僅附件區見一直徑1.0~3.0cm的CT值為10~30Hu的孕囊及胚胎組織影。結論：臨床錶現、體徵、妊娠實驗典型者CT常可對宮外孕進行正確診斷；對癥狀不典型者，綜閤CT圖像上病竈部位、形態及密度改變、病變的範圍及鄰近結構的變化，亦可提齣宮外孕破裂的診斷。
목적：인식궁외잉적CT표현。방법：회고성분석경수술、병리증실적33례궁외잉환자적CT표현，기중우측수란관호복부임신파렬환자20례，병좌측수란관만성염증환자5례，실혈성빈혈환자8례；좌측수란관임신파렬환자11례；좌측수란관임신미파렬환자2례。년령위17~39세，평균년령위25세。결과：31례수란관임신파렬자주요CT표현：①부건구견혼잡밀도포괴，내유CT치위10~30Hu적잉낭급배태조직영，주위유대소불등적CT치위70~100Hu적적혈영。②자궁주위견CT치위70~100Hu적적혈영。③자궁직장은와내견CT치위70~100Hu적적혈영혹CT치위10~30Hu적적액영。유자궁초대혹형태、대소미견명현이상。2례수란관임신미파렬자CT표현：부부건구견일직경1.0~3.0cm적CT치위10~30Hu적잉낭급배태조직영。결론：림상표현、체정、임신실험전형자CT상가대궁외잉진행정학진단；대증상불전형자，종합CT도상상병조부위、형태급밀도개변、병변적범위급린근결구적변화，역가제출궁외잉파렬적진단。
Objective:To recognize the CT manifestations of ectopic pregnancy. Methods:Thirty-three cases ( 17-39 years old, an average age of 25 years old) with ectopic pregnancy proved by pathology were retrospectively analyzed, wherein 20 cases with right pars ampullaris of fallopian tube pregnancy crack (5 cases combined with left adnexitis and 8 cases combined with chronic inflam-mations in the left fallopian tube) , 11 cases with left pars ampullaris of fallopian tube pregnancy crack, and 2 cases with left fallopian tube pregnancy but without crack. The CT manifestations of them were analyzed. Results:The main CT findings of 31 cases with tubal pregnancy crack were as following:(1) there was a mixed intensive mass in the accessory area, and a gestational sac and embryonic tissue shadow with a CT value of 10-30Hu could be seen in it and several of hematocele shadows with different sizes around uterus C with the CT value of 70-100Hu could be seen out of it. (2) The hematocele shadow around uterus with the CT value of 70-100Hu could be seen. (3) The hematocele shadow with the CT value of 70-100Hu or effusion shadow with the CT value of 10-30Hu in uter-ine pouch could be seen. (4) Uterus was slightly larger or normal. The CT findings of 2 cases with tubal pregnancy but without crack were only as following:a gestational sac and embryonic tissue shadow with the CT value of 10-30H could be seen in the accessory are-a. Conclusions:Ectopic pregnancy could be diagnosed prior to operation according to its typical clinical manifestations. CT examina-tion may be valuable for the diagnosis of atypical cases.
