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目的探讨螺旋CT对女性盆腔炎性肿块的诊断价值。资料与方法搜集经手术或临床治疗证实的女性盆腔炎性肿块患者资料47例。42例患者同时行CT平扫及增强扫描,5例仅行CT平扫。结果 47例中单发肿块32例,双侧肿块15例;肿块表现为囊性(8个)、囊实性(37个)、实性(17个);肿块壁局部出现“银环征”25个,囊内密度不均有“污浊感”13个,囊内含气4个;肿块与邻近脏器粘连(25例),伴盆腔和(或)胸腔积液(31例),子宫增大33例,附件增粗、输卵管积液(18例),输尿管积水(7例),肠梗阻(11例)。结论螺旋CT扫描能清楚地显示女性盆腔炎性肿块的内部特征及其与周围组织结构的关系,能够为临床诊疗提供更丰富而准确的依据。
Objective To investigate the diagnostic value of spiral CT in female pelvic inflammatory mass. Materials and Methods 47 cases of female pelvic inflammatory mass confirmed by surgery or clinical treatment were collected. Forty-two patients underwent concurrent CT scan and enhanced scan at the same time, while CT scan was performed in 5 patients. Results There were 32 single masses and 15 bilateral masses in 47 cases. The cysts were cystic (8), cystic and cystic (37), solid (17) (25 cases) with pelvic and / or pleural effusion (31 cases), 25 cases with intracapsular density heterogeneity ), 33 cases of uterine enlargement, accessory thickening, tubal effusion (18 cases), ureteral hydronephrosis (7 cases) and intestinal obstruction (11 cases). Conclusion Spiral CT scan can clearly show the internal features of female pelvic inflammatory mass and its relationship with the surrounding tissue structure, which can provide a richer and more accurate basis for clinical diagnosis and treatment.