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通过分析 88例经手术病理证实的盆腔肿瘤的CT征象 ,以提高CT对此类肿瘤的诊断水平。全部病例经CT平扫其中 71例行CT增强扫描。结果良性肿瘤 6 7例 ,包括 :子宫肌瘤、卵巢囊肿、卵巢囊腺瘤、畸胎瘤、卵巢脓种、卵巢TB及盆腔平滑肌瘤。肿瘤在CT上主要表现为囊性、囊实性、实性及混杂密度 ,多边界清晰 ,呈圆形或卵圆形 ,增强后实性部分及囊壁可中等度强化。恶性肿瘤 2 1例 ,包括 :宫颈癌、子宫体癌、卵巢癌。多密度不均 ,边界不清楚 ,且可伴腹水 ,增强后呈非均匀性强化。说明CT凭借其较好的密度分辨率及无重叠影像 ,对肿瘤的大小、密度、范围及其与周围组织关系都能有较为满意的显示 ,因此 ,对术前制订治疗方案和术后评价、追随 ,都具有重要意义。
By analyzing 88 cases of pathologically confirmed pelvic tumors CT signs to improve the CT diagnosis of such tumors. In all cases, CT scan of 71 cases was performed by CT plain scan. Results Sixty-seven benign tumors, including uterine fibroids, ovarian cysts, ovarian cystadenomas, teratomas, ovarian pus, ovarian TB and pelvic leiomyomas. Tumors in CT mainly for cystic, cystic solid, solid and mixed density, clear multi-border, round or oval, enhanced solid part and wall can be moderately enhanced. Malignant tumor in 21 cases, including: cervical cancer, uterine body cancer, ovarian cancer. Multi-density uneven, the border is not clear, and may be associated with ascites, enhance the non-uniform enhancement. CT with its better density resolution and non-overlapping images of the tumor size, density, scope and its relationship with the surrounding tissue can have a more satisfactory display, therefore, preoperative preparation of the treatment plan and postoperative evaluation, Follow, are of great significance.