盆腔炎的CT诊断

目的 分析不同程度的急慢性盆腔炎的CT影像学表现，评价CT对盆腔炎的诊断意义。方法 回顾性地分析57例经临床或手术证实的急慢性盆腔炎的CT影像学和临床表现。结果 CT表现为：①附件软组织增厚、卵巢炎性增大、输卵管积水、附件区或宫旁炎性包块。②子宫内膜炎、子宫肌炎和宫腔积脓。③脓肿形成：输卵管积脓、输卵管卵巢脓肿和盆腔脓肿。④盆腔水肿：骶子宫韧带增厚、盆腔脂肪和盆底筋膜模糊。⑤盆腔积液。⑥输尿管积水、盆腔淋巴结肿大。结论 CT是盆腔炎的一种很好的补充检查方法，能够直接全面显示病变的部位、范围和程度，为临床及时诊断和选择治疗方案提供准确的参考依据。

CT diagnosis of pelvic inflammatory disease

Objective To explore the CT findings of acute and chronic pelvic inflammatory disease (PID) and to evaluate the role of CT in diagnosis of PID. Methods The CT features and clinic manifestations in fifty-seven patients with clinically-or pathologically proved PID were reviewed restrospectively. Results CT scans showed: (1)appendage thick connective tissue, oophoritis, hydrosalpinx, infectious mass. (2)endometritis, myometritis and pyometra. (3)abscesses: pyosalpinx, tubo-ovarian abscesses and pelvic abscesses. (4) pelvic edema: thickening of uterosacral ligaments, haziness of pelvic fat and obscuration of the pelvic floor fascial planes. (5) fluid collection in pelvis. (6) hydroureter, pelvic lymphadenopathy. Conclution CT scan is one of the important supplementary ways to diagnose PID. It can clearly demonstrate the range and extend of lesion and provide valuable information for clinical treatment.