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目的分析卵巢囊腺瘤的CT影像表现,探讨多层螺旋CT对卵巢囊腺瘤诊断及鉴别诊断的价值。方法回顾性分析经手术及病理证实的28例卵巢囊腺瘤的CT影像表现。结果 28例卵巢囊腺瘤均表现为囊性为主,形态多为圆形或卵圆形,单房或多房,囊壁及分隔多薄而规则。其中浆液性囊腺瘤10例,单房8例,多房2例,内密度较均匀;粘液性囊腺瘤17例,均为多房,各房密度多不均;交界性粘液性囊腺瘤1例,双侧多房,囊壁及分隔厚薄略不均,强化较明显。结论多层螺旋CT能很好显示卵巢囊腺瘤内部特征及其与周围腹盆腔结构的关系,在卵巢囊腺瘤的定位、定性诊断及鉴别诊断中具有重要作用。
Objective To analyze the CT image of ovarian cystadenoma and investigate the value of multislice spiral CT in the diagnosis and differential diagnosis of ovarian cystadenoma. Methods The CT images of 28 cases of ovarian cystadenoma confirmed by surgery and pathology were retrospectively analyzed. Results 28 cases of ovarian cystadenoma were mainly cystic, mostly round or oval in shape, single or multiple atrial, cystic wall and separation of thin rules. One of 10 cases of serous cystadenocarcinoma in 8 cases, multiple rooms in 2 cases, more uniform density; mucinous cystadenoma in 17 cases, were multiple rooms, each room density and more uneven; borderline mucinous cyst gland Tumor in 1 case, bilateral multi-room, wall and separation of the thickness of slightly uneven, strengthen more obvious. Conclusions Multi-slice spiral CT can well show the internal characteristics of ovarian cystadenoma and its relationship with the surrounding abdominal pelvic structure, and play an important role in the localization, qualitative diagnosis and differential diagnosis of ovarian cystadenoma.