目的 探讨卵巢及输卵管结核的CT表现及诊断价值. 方法 收集滨州市结核病防治院2009年5月至2016年3月收治的37例卵巢及输卵管结核患者,其中11例通过腹腔镜手术-病理检查确诊,其余26例经临床病史、影像学及实验室检查、治疗随访确诊.37例患者均进行了CT平扫和增强扫描.对患者子宫附件区病变的形态、密度、与周围结构的关系及强化特点等进行观察. 结果 37例患者CT平扫表现为子宫附件区囊性(3例)、囊实性(20例)、实性(14例)肿块;27例患者病变与子宫及周围结构粘连;37例患者伴盆腔或腹盆腔积液23例,其中少量积液19例(呈包裹性积液15例),中等量积液3例(呈包裹性积液2例),大量积液1例;附件区钙化灶4例.37例患者CT增强扫描显示子宫附件区囊性肿块边缘强化23例,囊壁均匀;实性部分轻度强化3例,环状强化及蜂窝状强化31例,其余3例为囊性肿块;腹膜均匀增厚20例,网膜污迹样增厚4例,呈饼状网膜1例,肠系膜污迹样增厚12例;腹、盆腔淋巴结环状强化5例. 结论 CT检查对卵巢及输卵管结核有重要的诊断价值,子宫附件区对称性软组织块呈多发环状、蜂窝状强化可能是相对特异的CT特征.“,”Objective To explore the features and diagnostic value of CT of ovary and oviduct tuberculosis patients.Methods Patients from Binzhou City Tuberculosis Prevention and Control Hospital between May 2009 and March 2016 were collected.Eleven cases were diagnosed according to laparoscopic surgery pathological examination, while 26 cases were diagnosed based on clinical history, imaging and laboratory tests and follow-up.All the 37 cases were treated with plain and enhanced CT scanning to observe the relationship between the shape, density and the surrounding structure of the adnexal region.Results CT scan showed 3 cases of cystic, 20 cases of cystic solid, and 14 cases of solid mass;27 cases were with adhesions of uterus and surrounding structures;23 cases complicated with pelvic or abdominal pelvic fluid, among them, 19 with small (encapsulated effusion were found in 15 cases), 3 moderate (encapsulated effusion were found in 2 cases) and 1 large amount of effusion;calcification in adnexal region were found in 4 cases.According to CT scan, uterine adnexa cyst with rim enhancement was found in 23 cases, the cystic wall is uniform, the solid part of mild enhancement was found in 3 cases, ring enhancement and honeycomb enhancement was found in 31 cases, while uterine adnexa cyst was found in the other 3 cases;peritoneal thickening in 20 cases, retinal smear thickening in 4 cases, pie omentum in 1 case, mesenteric thickening stains in 12 cases, and annular enhancement of abdominal and pelvic lymph nodes in 5 cases.Conclusion CT examination shows important value in diagnosis of ovary and oviduct tuberculosis, block multiple ring and honeycomb strengthening in uterus adnexal symmetry soft tissue might be relatively specific CT features.