CAJ | 학술논문

目的探讨女性盆腔结核性包块MSCT特征,提高其诊断水平.方法回顾性分析50例经手术病理和临床证实的盆腔结核性包块的MSCT及临床资料.结果 MSCT表现为盆腔或双侧附件区不规则实性或囊实性占位性病变45例,盆腔积液15例,不规则点状或斑块状钙化8例,双侧附件区软组织粘连增厚5例,大网膜、腹膜或肠系膜呈结节状不规则增厚24例,腹膜后淋巴结增大8例,合并腰骶椎或骨盆骨质破坏5例,病理证实前有20例疑诊为附件恶性肿瘤,误诊率为40%.结论女性盆腔结核性包块MSCT易被误诊,正确诊断需多方面综合分析,合理运用B超引导下穿刺、腹腔镜检查等可减少对盆腔结核性包块的误诊率.
목적 탐토녀성분강결핵성포괴MSCT특정,제고기진단수평.방법 회고성분석50례경수술병리화림상증실적분강결핵성포괴적MSCT급림상자료.결과 MSCT표현위분강혹쌍측부건구불규칙실성혹낭실성점위성병변45례,분강적액15례,불규칙점상혹반괴상개화8례,쌍측부건구연조직점련증후5례,대망막、복막혹장계막정결절상불규칙증후24례,복막후림파결증대8례,합병요저추혹골분골질파배5례,병리증실전유20례의진위부건악성종류,오진솔위40%.결론녀성분강결핵성포괴MSCT역피오진,정학진단수다방면종합분석,합리운용B초인도하천자、복강경검사등가감소대분강결핵성포괴적오진솔.
Objective To evaluate the multi-slice computed tomography (MSCT)features of massive pelvic tuberculosis in females, improve CT diagnostic accuracy. Methods MSCT data and clinical data of 50 female cases with pelvic tuberculosis confirmed by pathological surgery and clinic diagnosis were retrospectively analyzed. Results MSCT results showed there were 45 cases of irregular cystic mass in pelvic cavity and/or in the bilateral accessoryareas,there were 15 cases with ascites,8 cases of pelvic irregular and patchy dot-like calcification and 5 cases of the bilateral thickening and adhesion of the soft tissues in the accessory zone,24 cases with the thickening and adhesion of the peritoneums,omentum and mesentery,9 cases with lymph nodes increase, 5 cases merge the lumbosacral vertebral or pelvic bone destruction,20 cases were misdiagnosed as ovary tumor by MSCT with misdiagnosis rate as 40%. Conclusion The MSCT of female massive pelvic tuberculosis is easy to be misdiagnosed, correct diagnosis requires comprehensive analysis from various aspects,we can apply puncture under ultrasound guided,laparoscopy and other methods reasonably,and then the probability of misdiagnosis rate of mssive pelvic tuberculosis would be decreased.