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卵巢肿瘤扭转的CT表现 被引量:16

CT features of torsion of ovarian tumor
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摘要 目的 探讨卵巢肿瘤扭转的CT表现。方法 回顾分析经手术病理证实的 15例卵巢肿瘤扭转的CT资料。结果  16个扭转肿瘤平均最大径 10 .7cm。 14个为囊性或囊实性、2个为实性。囊壁向心性增厚 7例、偏心性增厚 3例。输卵管增粗 7例。 5例输卵管、8例囊性肿瘤囊壁和 2例实性肿瘤平扫CT值大于 5 0Hu ,增强扫描后没有强化 ,手术证实有出血性梗死。 6例有少量腹水及肿瘤周围脂肪密度增高。子宫偏向扭转侧 9例。结论 卵巢肿瘤扭转的CT表现有一定特征。 ObjectiveTo explore CT features of torsion of ovarian tumor. MethodsCT manifestations of torsion of ovarian tumor in 15 cases (total 16 tumors) proven by surgery and pathology were analysed retrospectively. ResultsThe mean maximum diameter of 16 torsed ovarian tumors was 10.7 cm. Fourteen of the ovarian tumors were cystic or cystic solid, and 2 were solid. Concentric wall thickening was noted in 7 cases and eccentric wall thickening in 3 cases. The tube thickening was seen in 7 cases. The precontrast CT value was more than 50 Hu in 5 tubes, 8 cystic walls and 2 solid masses and no enhancement was seen after injecting contrast agent. A little liquid in cul de sac and peritumoral infiltration was seen in 6 cases. Displacement of uterus related to the torsed adnexa was found in 9 cases. ConclusionCT manifestation of torsion of ovarian tumor was of some characteristic. CT is valuable in diagnosing torsion of ovarian tumor.
出处 《中国医学影像技术》 CSCD 2004年第8期1245-1247,共3页 Chinese Journal of Medical Imaging Technology
关键词 扭转 卵巢肿瘤 体层摄影术 X线计算机 Torsion Ovarian neoplasms Tomography, X ray computed
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参考文献4

  • 1[3]Rha SE, Byun JY, Jung SE, et al. CT and MR imaging features of adnexal torsion[J]. Radiographics, 2002,22(2):283-294.
  • 2[4]Ghossain MA, Buy JN, Bazot M, et al. CT in adnexal torsion with emphasis on tubal findings[J]. Journal of Computed Assisted Tomography, 1994,18(4):619-625.
  • 3[5]Kin YH, Cho KS, Ha HK, et al. CT features of torsion of benign cystic teretoma of the ovary[J]. Journal of Computed Assisted Tomography,1999,23(6):923-928.
  • 4[6]Kimura I, Togashi K, Kawakami S, et al. Ovarian torsion: CT and MR imaging appearances[J]. Radiology, 1994,190(2):337-341.

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