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目的探讨输卵管妊娠的临床和CT表现的特点。方法分析6例经手术病理证实的输卵管妊娠的临床资料和CT表现。结果 6例输卵管妊娠发生于壶腹部3例、峡部2例、伞部1例。CT表现为附件区不规则形囊实性混杂密度包快,内见高密度出血灶5例,孕囊1例,盆腔高密度血性积液4例。增强扫描软组织包快轻到中度不均匀强化,高密度出血灶基本无强化,1例孕囊边缘明显环形强化。2例子宫略增大。结论附件区不规则形囊实性混杂密度包快,内见高密度出血灶、孕囊,同时伴有腹盆腔高密度积液为输卵管妊娠的典型CT表现。
Objective To investigate the clinical and CT features of tubal pregnancy. Methods The clinical data and CT findings of 6 tubal pregnancy confirmed by surgery and pathology were analyzed. Results 6 cases of tubal pregnancy occurred in the ampulla in 3 cases, 2 cases of isthmus, umbrella in 1 case. CT showed irregular appendage irregular cystic mixed density package fast, see the high-density hemorrhage in 5 cases, 1 case of gestational sac, pelvic high density bloody fluid in 4 cases. Enhanced scanning of soft tissue bags to mild to moderate non-uniform enhancement, high-density hemorrhage basically no enhancement, 1 case of gestational sac margin significantly enhanced ring. 2 cases slightly increased uterus. Conclusion In the attachment zone, the irregularly shaped cystic prominence of mixed density is fast and the high density hemorrhagic foci and gestational sac are seen in the attachment area. The high density of pelvic fluid is a typical CT manifestation of tubal pregnancy.