CAJ | 학술논문

目的：探讨输卵管积液的C T及M RI影像学特点。方法回顾性分析26例（双侧发病14例，共40个病灶）手术病理证实的输卵管积液患者的C T及M RI表现，包括输卵管脓肿17例、输卵管积水15例、输卵管卵巢脓肿8例。结果输卵管积液呈弯曲管状、多房状或串珠状形态，尖端指向子宫角。输卵管积脓M RI呈等或稍长T1、长 T2信号、DWI呈高信号，5例显示液-液平面；输卵管积水以水样信号为主，3例 T1 WI呈等信号、DWI呈高信号。输卵管积脓CT 密度较输卵管积水稍高，输卵管积水以水样密度为主。输卵管或输卵管卵巢脓肿管壁较厚、强化较明显、周围改变较显著。结论输卵管积液M RI有一定特征，容易和盆腔其它囊性病变鉴别。
목적：탐토수란관적액적C T급M RI영상학특점。방법회고성분석26례（쌍측발병14례，공40개병조）수술병리증실적수란관적액환자적C T급M RI표현，포괄수란관농종17례、수란관적수15례、수란관란소농종8례。결과수란관적액정만곡관상、다방상혹천주상형태，첨단지향자궁각。수란관적농M RI정등혹초장T1、장 T2신호、DWI정고신호，5례현시액-액평면；수란관적수이수양신호위주，3례 T1 WI정등신호、DWI정고신호。수란관적농CT 밀도교수란관적수초고，수란관적수이수양밀도위주。수란관혹수란관란소농종관벽교후、강화교명현、주위개변교현저。결론수란관적액M RI유일정특정，용역화분강기타낭성병변감별。
Objective To explore the feature of the Hydrosalpinx/pyosalpinx on CT and MRI imagings .Methods CT and MRI manifestations of Hydrosalpinx/pyosalpinx in 26 cases (14 cases of bilateral disease ,a total of 40 lesions) were analyzed retrospectively ,which were confirmed by operation and pathology ,including 17 cases of pyosalpinx ,15 cases of hydrosalpinx ,8 cases of tubo-ovarian abscess .Results The hydrosalpinx had variform appearance on CT and MR imag-ings ,including curved tubular ,multi-room-like or beaded form ,the tip pointed to uterine horn .Pyosalpinx MRI showed equal or slightly longer T1 ,long T2 signal ,DWI showed high signal ,6 cases displayed fluid-fluid level .Hydrosalpinx showed similar water signal ,three cases showed high signal on DWI .Pyosalpinx CT density was slightly higher than the hydrosalpinx ,hydrosalpinx density was similar to water .The capsule wall of pyosalpinx and tubo-ovarian abscess were thickened and obviously enhanced on contrasted sequence .Conclusion The fallopian tube effusion has obvious features on CT and MRI ,which is easy to identify the other pelvic cystic lesions .