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目的:探讨多排螺旋计算机断层扫描(CT)多平面重建对子宫肌瘤的诊断价值。方法:选取2015年1月至2016年2月台山市人民医院收治且经手术及病理证实的子宫肌瘤患者52例,进行多排螺旋CT平扫及增强扫描,在工作站应用多平面重建技术,进行横断面、冠状面、矢状面重建。结果:手术证实子宫肌瘤共52例,单发性子宫肌瘤38例,多发性子宫肌瘤14例,共发现子宫肌瘤82个,其中肌壁间肌瘤47个,浆膜下肌瘤19个,黏膜下肌瘤12个,子宫颈肌瘤4个。肌瘤直径1~23 cm。子宫肌瘤的CT影像特点取决于肌瘤所在子宫壁的位置、肌瘤数目、大小及肌瘤是否继发玻璃样变、囊性变、黏液样变、钙化、坏死而表现不同。结论:子宫肌瘤进行多排螺旋CT多平面重建检查,对子宫肌瘤的诊断具有重大意义。
Objective: To investigate the diagnostic value of multi-slice helical computed tomography (CT) multiplanar reconstruction on uterine fibroids. Methods: From January 2015 to February 2016, 52 cases of uterine leiomyoma confirmed by operation and pathology were treated by Taishan People’s Hospital from January 2015 to February 2016. Multi-slice spiral CT scan and enhanced scan were performed. The multiplanar reconstruction technique was applied to the workstation. For cross-section, coronal, sagittal reconstruction. Results: 52 cases of uterine fibroids were confirmed by operation, 38 cases of solitary uterine fibroids and 14 cases of multiple uterine fibroids. A total of 82 uterine fibroids were found, of which 47 were intramural fibroids, 19, 12 submucosal fibroids, 4 cervical myomas. Fibroids diameter 1 ~ 23 cm. The characteristics of CT images of uterine fibroids depend on the location of the uterine wall where fibroids are located, the number and size of fibroids, and whether secondary fibroids, cystic degeneration, mucoid degeneration, calcification, or necrosis appear differently. Conclusion: Uterine fibroids multi-slice spiral CT multiplanar reconstruction examination of uterine fibroids is of great significance.