中国医学装备
中國醫學裝備
중국의학장비
China Medical Equipment
2015年
11期
114-116
,共3页
双期增强CT扫描%病理诊断%卵巢黄体囊肿破裂出血%结果%对比
雙期增彊CT掃描%病理診斷%卵巢黃體囊腫破裂齣血%結果%對比
쌍기증강CT소묘%병리진단%란소황체낭종파렬출혈%결과%대비
Dual-phase enhanced CT scan%Pathology%Corpus luteum cyst rupture%Results%Compare
目的：对比分析双期增强CT扫描和病理诊断卵巢黄体囊肿破裂出血结果。方法：对34例卵巢黄体囊肿破裂出血患者资料进行回顾性分析。结果：34例患者中，术前CT准确诊断为卵巢黄体囊肿28例，术前CT未准确诊断6例，宫外孕破裂出血为第一诊断。在病变部位方面，22例患者为右侧卵巢，12例患者为左侧卵巢。破裂的黄体囊肿长径在4.3～7.3 cm之间，平均为(5.1±1.4)cm，缺乏完整的囊肿壁，可见破口，有凝血块及血液存在于囊肿周围；20例患者对比剂外溢，片状或条状高密度影存在于囊肿周围是其主要临床表现；大量液性低密度影积聚在盆腹腔内；28例患者囊肿内密度增高，有血块存在于囊肿内是其主要临床表现。手术观察结果基本符合术前CT诊断，所有患者均经病理证实为卵巢黄体囊肿破裂出血。结论：双期增强CT扫描诊断卵巢黄体囊肿破裂出血价值较高，值得推广。
目的：對比分析雙期增彊CT掃描和病理診斷卵巢黃體囊腫破裂齣血結果。方法：對34例卵巢黃體囊腫破裂齣血患者資料進行迴顧性分析。結果：34例患者中，術前CT準確診斷為卵巢黃體囊腫28例，術前CT未準確診斷6例，宮外孕破裂齣血為第一診斷。在病變部位方麵，22例患者為右側卵巢，12例患者為左側卵巢。破裂的黃體囊腫長徑在4.3～7.3 cm之間，平均為(5.1±1.4)cm，缺乏完整的囊腫壁，可見破口，有凝血塊及血液存在于囊腫週圍；20例患者對比劑外溢，片狀或條狀高密度影存在于囊腫週圍是其主要臨床錶現；大量液性低密度影積聚在盆腹腔內；28例患者囊腫內密度增高，有血塊存在于囊腫內是其主要臨床錶現。手術觀察結果基本符閤術前CT診斷，所有患者均經病理證實為卵巢黃體囊腫破裂齣血。結論：雙期增彊CT掃描診斷卵巢黃體囊腫破裂齣血價值較高，值得推廣。
목적：대비분석쌍기증강CT소묘화병리진단란소황체낭종파렬출혈결과。방법：대34례란소황체낭종파렬출혈환자자료진행회고성분석。결과：34례환자중，술전CT준학진단위란소황체낭종28례，술전CT미준학진단6례，궁외잉파렬출혈위제일진단。재병변부위방면，22례환자위우측란소，12례환자위좌측란소。파렬적황체낭종장경재4.3～7.3 cm지간，평균위(5.1±1.4)cm，결핍완정적낭종벽，가견파구，유응혈괴급혈액존재우낭종주위；20례환자대비제외일，편상혹조상고밀도영존재우낭종주위시기주요림상표현；대량액성저밀도영적취재분복강내；28례환자낭종내밀도증고，유혈괴존재우낭종내시기주요림상표현。수술관찰결과기본부합술전CT진단，소유환자균경병리증실위란소황체낭종파렬출혈。결론：쌍기증강CT소묘진단란소황체낭종파렬출혈개치교고，치득추엄。
Objective:To compare the results of dual-phase enhanced CT scan and pathological diagnosis of ovarian corpus luteum cyst rupture.Methods: Thirty four cases of ovarian corpus luteum cyst rupture were treated in our hospital from April 2012 to April 2015 were retrospectively analyzed.Results: Among the 34 cases of patients, 28 cases before surgery CT accurate diagnosis of ovarian corpus luteum cyst, 6 cases before surgery CT did not accurately diagnose ectopic pregnancy bleeding was first diagnosed. In terms of the lesion, 22 cases of the right ovary and 12 cases were left ovary. Ruptured corpus luteum cyst diameter in 4.3-7.3cm, averaging (5.1±1.4)cm, the lack of complete cyst wall, visible break, there exists in the blood clot and the surrounding cyst; 20 cases with contrast extravasation, sheet or strip was present in high density around the cyst was the main clinical manifestations; a lot of low density liquid accumulated in the abdominal cavity; 28 cases with cystic density increased, the presence of a blood clot within the cyst was the main clinical manifestations. Surgical results were consistent with observed preoperative CT diagnosis. All patients were pathologically confirmed corpus luteum cyst rupture.Conclusion: Dual-phase enhanced CT scann has higher value in the diagnosis of ovarian corpus luteum cyst rupture bleeding, so is worthy of promotion.
