CAJ | 학술논문

目的：研究卵巢囊肿蒂扭转采用螺旋CT经多平面重建技术的临床诊断价值。方法选取2012年12月-2014年12月期间入院检查的30例卵巢囊肿蒂扭转患者定义为研究对象，采用回顾性分析的方式对其临床资料、螺旋CT检查多平面重建征象等进行研究，并以病理组织诊断结果为标准对其进行评价。结果 CT平扫检查中囊肿蒂扭转部位主要征象为不规则实性肿块或绳索状，密度不均；囊壁呈现为均匀或不均匀增加；增强扫描发现强化降低或未见强化，同时还可对积液情况进行反馈。25例囊内密度均匀，2例分房状，3例囊内出血，10例与前腹壁发生不同程度粘连，5例患者囊肿破裂。与手术病检结果相比，肿瘤直径、囊壁加厚厚度等指标比较无明显统计学差异（P＞0.05）；诊断准确率比较具有明显统计学差异（P＜0.05）。结论螺旋CT对卵巢囊肿蒂扭转的诊断具有特异性征象表现，多平面重建技术能够对CT轴位图像的不足进行弥补，具有较高的临床使用价值。
목적：연구란소낭종체뉴전채용라선CT경다평면중건기술적림상진단개치。방법선취2012년12월-2014년12월기간입원검사적30례란소낭종체뉴전환자정의위연구대상，채용회고성분석적방식대기림상자료、라선CT검사다평면중건정상등진행연구，병이병리조직진단결과위표준대기진행평개。결과 CT평소검사중낭종체뉴전부위주요정상위불규칙실성종괴혹승색상，밀도불균；낭벽정현위균균혹불균균증가；증강소묘발현강화강저혹미견강화，동시환가대적액정황진행반궤。25례낭내밀도균균，2례분방상，3례낭내출혈，10례여전복벽발생불동정도점련，5례환자낭종파렬。여수술병검결과상비，종류직경、낭벽가후후도등지표비교무명현통계학차이（P＞0.05）；진단준학솔비교구유명현통계학차이（P＜0.05）。결론라선CT대란소낭종체뉴전적진단구유특이성정상표현，다평면중건기술능구대CT축위도상적불족진행미보，구유교고적림상사용개치。
Objective This paper is to investigate clinical diagnostic value of spiral CT multi-planar reconstruction technique applied on ovarian cyst pedicle torsion.Methods Thirty patients with ovarian cyst pedicle torsion admitted by the Hospital during the period from December, 2012 to December, 2014 were defined as research objects, clinical data and signs of spiral CT examination multi-planar reconstruction were investigated with the method of retrospective analysis, and the evaluation was made on them on the basis of histopathologic diagnosis.Results Major signs of CT scanning examination in the parts of ovarian cyst pedicle torsion included irregular solid mass or rope shape, uneven density, the increase in even or uneven cyst wall. The intensification reduction or unavailability of intensification was found in enhancement scanning, and effusion conditions were feed back in the mean time. Internal capsules of 25 patients showed uniform density, 2 patients showed multiloculated symptoms, 3 patients suffered from intracystic hemorrhage, abdominal walls of 10 patients suffered from adhesions at different extents, 5 patients suffered from cyst rupture. Compared with surgical disease inspection results There were significantly statistical differences (P>0.05) in tumor diameter, thickness of capsule wall thickening and other indicators when compared to disease examination results of surgeries. The comparison in accurate diagnosis was of significant statistical difference (P<0.05). Conclusions Spiral CT delivers specific signs in the diagnosis of ovarian cyst pedicle torsion are, and multi-planar reconstruction technique is capable of recovering the deficiency of CT axial images, delivering high value of clinical use.