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目的探讨黄体破裂出血的CT表现,提高其CT诊断水平。方法回顾性分析经手术病理证实的11例黄体破裂出血患者的临床资料及CT表现。结果11例患者黄体破裂多在月经周期后半期发病,右侧卵巢黄体破裂7例,左侧卵巢黄体破裂4例。其CT表现为黄体囊肿破裂、周围无凝血块形成3例,黄体或黄体囊肿破裂、周围附着或覆盖大小不等凝血块8例。腹腔积血量大于500ml2例,100～500ml4例,1例少于50ml,4例无积液。结论黄体破裂的CT表现具有特征性,结合临床可提高诊断的正确性,明确腹腔出血量可对临床治疗提供依据。
Objective To investigate CT manifestations of lupus rupture hemorrhage and improve its CT diagnosis. Methods The clinical data and CT findings of 11 patients with luteal effusion confirmed by surgery and pathology were retrospectively analyzed. Results Of the 11 patients, the rupture of corpus luteum mainly occurred in the second half of the menstrual cycle. The right ovarian corpus luteum ruptured in 7 cases and the left ovarian corpus luteum ruptured in 4 cases. The CT showed corpus luteum cyst rupture, coagulation around the formation of 3 cases of corpus, corpus luteum or corpus luteum rupture, attached or covered around the size clot in 8 cases. 2 cases of abdominal blood volume greater than 500ml, 100 ~ 500ml4 cases, 1 case less than 50ml, 4 cases without effusion. Conclusions CT manifestations of ruptured corpus luteum are characteristic. Combining with clinic can improve the correctness of the diagnosis, and clear the amount of intra-abdominal hemorrhage can provide basis for clinical treatment.