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目的:分析输卵管病变的CT影像学特点,探讨CT诊断该病的临床应用价值。方法:回顾性分析58例经手术、病理证实的输卵管病变的CT表现,并与腹腔镜、常规手术及病理结果对照分析。结果:CT诊断为输卵管积水20例,输卵管积脓8例,输卵管卵巢脓肿1例,输卵管扭转1例,输卵管妊娠5例,输卵管系膜囊肿7例,输卵管结核5例,输卵管癌1例;其中误诊10例,与手术病理对照,CT诊断准确率为83%(48/58)。结论:输卵管病变的CT表现具有一定的特征性,CT平扫表现为附件区迂曲管状囊性密度影,根据CT增强特点,密切结合临床并重视该病的影像学表现综合分析,可以作出明确诊断。
Objective: To analyze the CT imaging features of tubal lesions and to explore the clinical value of CT in the diagnosis of the disease. Methods: The CT findings of 58 cases of tubal pathology confirmed by operation and pathology were analyzed retrospectively. The CT findings were compared with those of laparoscopy, routine surgery and pathology. Results: 20 cases of tubal hydrops, 8 cases of tubal empyema, 1 case of tubal ovarian abscess, 1 case of tubal torsion, 5 cases of tubal pregnancy, 7 cases of tubal mesangial cyst, 5 cases of tubal tuberculosis and 1 case of fallopian tube cancer were diagnosed by CT. Among them, 10 cases were misdiagnosed, and the accuracy of CT diagnosis was 83% (48/58) compared with the surgical pathology. CONCLUSION: The CT findings of tubal lesions have certain characteristics. The CT plain scan is tortuous tubular cystic densities in the accessory region. According to the features of CT enhancement, closely combined with the clinical and the comprehensive evaluation of the imaging manifestations of the disease, a definite diagnosis can be made .