女性盆腔结核的CT、MR表现.pdf

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1、中国介人影像与治疗学2O15年第12卷蔓塑』!!堕：!：!!!：·673·CTandMRmanifestationsoffemalepelvictuberculosissoNGXin，CHENZu—hua(DepartmentofRadiology，theSecondA{{tliatedHospitalofZhejiangChineseMedicineUniverstiy，Hangzhou310005，China)[-Abstract-~ObjectiveToexploreCTandMRIfeaturesoffemalepe

2、lvictuberculosis．MethodsRetrospectiveanalysisof8casesoffemalepelvictuberculosis。whichwasconfirmedbysurgicalpathology，andunderwentCT(一6)orMR(一5)examinations，wereperformed．ResllltsSevencaseswerefoundpelviccavityaccumulatesfluidWhichCTvaluewas12—35HU；2caseswereDarcele

3、ffusion，1casewasfreeeffusion，4casewerecombinedparcelaMfreeeffusiomFivecaseswerewithcalcifications．Sevencaseswerewithbilateraloviductthickeningandnodularchanges．Sevencaseswerewithpelvicmass，andmultilocularcysticwasin1case，solidmasswasin1case，cysticandsolidmasseswasi

4、n5cases．Fourcaseswerewithretinalandmesangialthickeningwithpieorlinestrips．Sevencaseswerewithmultiplevisceraadhesioninpelvic．Fivecaseswerewithlymphnodesenlargement，necro—sis．ConclusionTheimagingfindingsofpelvictuberculosisarecomplex．Highdensityabdomimalcavityeffusio

5、n，calcificationofattachmentarea，delayedenhancementofitssolidingredientsarespecificperformances．CTexaminationishelpfultofindhighden—sityabdomimalcavityeffusionandcalcification；MRIhasmoreadvantagestOdisplaythecapsulewallofparceleffusion，nodularorthickeningoviduct，thi

6、ckcapsulewallofpelviccysticorsolidmass，multiplevisceraadhesioninpelvic．CombinationofCTandMIUiSmorehelpfultoireproveitsdiagnosticrate．[Keywords-]Tuberculosis；Pelvicinflammatorydisease；Tomography，X—raycomputed；MagneticresonanceimagingDoI：1O．13929／j．1672—8475．2015．11．

7、007女性盆腔结核的CT、MR表现宋侠，陈祖华(浙江中医药大学附属第二医院放射科，浙江杭州310005)[摘要]目的探讨女性盆腔结核的CT、MR影像学特征。方法回顾性分析8例经手术病理证实的女性盆腔结核的CT(=6)和(或)MRI(n=5)表现。结果7例有盆腔积液，积液CT值12～35HU；2例为包裹性积液，1例为游离性积液，4例为包裹性、游离性积液并存。5例病变区钙化。7例呈双侧输卵管增粗、结节状改变。7例见盆腔包块，1例呈多分房囊性，1例呈实性，5例呈囊实性。4例网膜、系膜僵硬，部分呈饼状、索条状。7例与盆腔多个脏器粘连

8、。5例淋巴结肿大、坏死。结论盆腔结核影像学表现复杂，较高密度的腹腔积液、附件区钙化、实性成分增强延迟强化为其特异性表现。CT检查有利于高密度腹腔积液、钙化的检出)MR可显示包裹性积液的壁结构、输卵管增厚、结节，盆腔囊实性肿块的厚壁囊腔和盆腔内多发脏器粘连。CT与MR检查相结合有助于提高该病