| CT及MR在诊断输卵管卵巢脓肿中的作用 |
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| 引用本文： | 李德忠,冯丰,夏树枚,张建针,杨龙堂.CT及MR在诊断输卵管卵巢脓肿中的作用[J].医学影像学杂志,2010,20(2):224-226. |
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| 作者姓名： | 李德忠 冯丰 夏树枚 张建针 杨龙堂 |
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| 作者单位： | 广东省深圳市宝安区龙华医院放射科,广东,深圳,518109 |
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| 摘 要： | 目的：分析输卵管卵巢脓肿（tubo-ovarian abscess,TOA）多层螺旋CT（MSCT）,MR征象,探讨影像技术对输卵管卵巢脓肿的诊断价值。方法：回顾性分析22例常规活检证实的输卵管卵巢脓肿患者的MSCT平扫及增强,其中7例行MR检查3例行增强MR扫描的影像学表现。结果：附件区厚壁多房囊性或囊实性混合肿块22例（100%）、附件区有增粗积液或积脓的输卵管管状结构影或腊肠样输卵管征象13例（59%）,子宫直肠脂肪间隙消失、脂肪密度增高、骶骨子宫韧带增厚、盆腔积液17例（77%）,CT及MRI增强扫描病灶囊液均未见强化效应,囊壁呈分层强化,并见水肿带,分隔均匀强化。结论：CT及MR检查在输卵管卵巢脓肿的诊断及病情评估中起了非常重要的作用。
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| 关 键 词： | 输卵管卵巢脓肿 体层摄像术 X线计算机 核磁共振成像 |
The value of CT and MR in the diagnosis of tubo-ovarian abscess |
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| LI De-zhong,FENG Feng-di,XIA Shu-mei,ZHANG Jian-zhen,YANG Long-tang.The value of CT and MR in the diagnosis of tubo-ovarian abscess[J].Journal of Medical Imaging,2010,20(2):224-226. |
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| Authors: | LI De-zhong FENG Feng-di XIA Shu-mei ZHANG Jian-zhen YANG Long-tang |
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| Institution: | LI De-zhong,FENG Feng-di,XIA Shu-mei,ZHANG Jian-zhen,YANG Long-tang Department Of Radiology,The Hospital Of Longhua,Shenzhen 518109,P.R.China |
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| Abstract: | Objective:To Study the value CT and MR findings in the diagnosis of tubo-ovarian abscess(TOA).Methods:CT and MR images were analyzed in 22 patients with TOA,who were confirmed by pathology.Results:Of all theses cases,22 showed poorly defined complex massed in adnexa area(100%),13 cases had increased thick fluid or present of tubular structure of fallopian tube sample or sausages signs(59%)in annex area,17 cases showed the increase in fat density in uterine rectum,sacral uterine ligament thickening,and accum... |
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| Keywords: | Tubo-ovarian abscess Tomography X-ray computed Magnetic resonance imaging |
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