CAJ | 학술논문

目的：探讨 CT 增强扫描对卵巢黄体囊肿破裂的诊断价值。方法：回顾性分析17例经手术病理诊断为卵巢黄体囊肿破裂患者的影像学表现，所有患者均行双期增强 CT 扫描。结果：17例卵巢黄体囊肿的长径约4．3～7．3 cm，平均5．1 cm。CT 增强扫描能清楚地显示破裂的黄体囊肿，可见破口及囊肿周围的凝血块和血液，盆腔和腹腔内可见大量积液，10例可见对比剂外溢。CT 所见与手术中所见完全一致。结论：CT 增强扫描对卵巢黄体囊肿破裂出血有较高的诊断价值。
목적：탐토 CT 증강소묘대란소황체낭종파렬적진단개치。방법：회고성분석17례경수술병리진단위란소황체낭종파렬환자적영상학표현，소유환자균행쌍기증강 CT 소묘。결과：17례란소황체낭종적장경약4．3～7．3 cm，평균5．1 cm。CT 증강소묘능청초지현시파렬적황체낭종，가견파구급낭종주위적응혈괴화혈액，분강화복강내가견대량적액，10례가견대비제외일。CT 소견여수술중소견완전일치。결론：CT 증강소묘대란소황체낭종파렬출혈유교고적진단개치。
Objectire:To investigate the diagnostic value of contrast enhanced CT scan in corpus luteum cyst rupture. Methods:Imaging characteristics of 17 patients with corpus luteum cyst rupture confirmed by surgery and pathology were retrospectively analyzed,all patients underwent dual-phase contrast-enhanced CT scan.Results:The mean value of longest diameters of luteum cysts in 17 cases was 5.1cm (4.3 ~7.3cm)on CT image.All ruptured corpus luteum cysts were accrurately diagnosed by contrast-enhanced CT images,on which the location of laceration and hematocele with blood clot around the cyst were cleary demonstrated.Contrast agent leakage from blood vessel and accumulation around the cysts can be seen in ten patients.Peritoneal and pelvic effusion was found in all cases.The CT findings were confirmed by surgery. Conclusion:Contrast enhanced CT scan is very helpful to the diagnosis of corpus luteum cyst rupture.