| 王锋 王弢 汪兴响 马正星.年轻女性盆腔肿块的CT表现分析[J].实用中西医结合临床,2009,(2):67-68 |
| 年轻女性盆腔肿块的CT表现分析 |
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| DOI： |
| 中文关键词: 盆腔肿块 CT表现 体层摄影术 X线计算机 |
| 英文关键词: Pelvic mass CT appearances tomography X-ray computed |
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| 中文摘要: |
| 目的：分析和总结40周岁以下女性盆腔肿块的CT表现，以提高诊断水平。方法：回顾性分析经手术、病理和临床随访证实的40周岁以下女性盆腔肿块135例共176个病灶，年龄16~40岁，平均32.5岁,87例增强扫描。结果：112例单病灶，15例双病灶，8例含多病灶，共176个肿瘤或占位病变，可归纳为3种类型：（1）大部分病例来源明确,表现典型,属于良性，占65.9%(89/135)；（2）部分病例表现不典型,定位定性困难，良恶性兼有，仍以良性比例大，占25.2%(34/135)；（3）个别病例表现无特殊,结合病史良恶性难定， 最终依赖病理诊断，占8.9%(12/135) 。结论：年轻女性盆腔肿块大部分CT表现典型,属于良性，易诊断；少数病例CT表现缺乏特征性,似恶性，临床病史也不明确，即使是良性也难诊断而最终完全依赖病理。 |
| 英文摘要: |
| Objective:To promote the level of diagnosis of pelvic mass, analysis and summarize its CT manifestations in female under forty years old. Methods:The CT appearances of 135 cases with pelvic mass proved by operations、pathology or clinic were retrospectively analyzed.Results:There were totally 176 lesions in 135 cases, while 112 cases with single lesion, 15 cases with double lesions, other 8 cases with triple in each cases at least.They were categorized into three types according to their origin:(1)Most cases (65.9%, 89/135) with definite origin and typical CT appearances were benign. (2)Some cases (25.2%,34/135) without typical CT appearances were either benign or malignant, but benign lesions were predominant.(3)Other cases(8.9%,12/135) without special CT appearances were difficult to diagnosis, ultimately proved by pathology.Conclusion:Most pelvic masses with typical CT appearances in young female were benign and easy to diagnosis; while few cases without special CT appearances or determined history were formidable to diagnosis, completely depending on pathology. |
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