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目的探讨宫外孕的CT与MRI影像诊断价值。方法对22例宫外孕经手术病理证实均为输卵管妊娠进行回顾性分析。结果宫外孕的CT和MRI影像表现为子宫旁囊性、囊实性或不均匀软组织密度包块,包块内出血灶和盆腔积血为特征性表现。结论对临床和超声无法确诊的病例,CT、MRI是重要的影像学补充检查手段,MRI对亚急性或陈旧性出血的显示较超声和CT敏感。
Objective To investigate the diagnostic value of CT and MRI in ectopic pregnancy. Methods Retrospective analysis of 22 cases of ectopic pregnancy confirmed by surgery and pathology were tubal pregnancy. Results CT and MRI images of ectopic pregnancy manifested as cystoid cyst, cystic solid or uneven soft tissue density mass, intracranial hemorrhage and pelvic hemorrhage as the characteristic manifestations. Conclusions CT and MRI are important imaging supplementary examinations for clinical and ultrasonographic diagnosis. MRI is more sensitive to ultrasound and CT than subacute or obsolete hemorrhage.