卵巢囊肿蒂扭转的CT诊断

目的:探讨卵巢囊肿蒂扭转的CT表现及诊断价值.方法:回顾性分析6例经手术病理证实的卵巢囊肿蒂扭转的临床资料和CT征象.平扫6例,增强扫描4例.结果:6例CT平扫均出现囊实性双肿块、囊壁均匀或不均匀增厚、囊肿位置变化、盆腔积液等征象.3例子宫偏向扭转侧,1例囊内出血,1例囊肿破裂.增强扫描,强化减弱或无强化.结论:卵巢囊肿蒂扭转的CT表现有一定特征性,CT作为超声检查的一种补充检查方法,对卵巢囊肿蒂扭转的诊断和鉴别诊断具有重要价值.

CT Diagnosis of Ovarian Cyst with Twisted Pedicle

Objective:To investigate the CT features and the diagnostic value in ovarian cyst with twisted pedicle.Methods:Clinical data and CT finding in 6 cases of ovarian cyst with twisted pedicle confirmed by surgery and pathology were retrospectively analyzed.Results:CT imaging of the 6 cases showed cystic solid double masses,cystic wall thickening,variable cystic position and pelvic effusion.Displacement of uterus related to the torsed adnexa (n=3),cyst hemorrhage (n=1) and cyst rupture (n=1).In contrast enhanced CT scans,there were reduced enhancement or no enhancement.Conclusion:CT features of ovarian cyst with twisted pedicle present some characteristic.CT is an effective supplement means of Ultrasonic examination.It has great value for the diagnosis and differential diagnosis of ovarian cyst with twisted pedicle.