腹壁子宫内膜异位症的CT诊断.doc

腹壁子宫内膜异位症的CT诊断

[摘要] 目的探讨腹壁子宫内膜异位症的CT表现,提高其诊断符合率。方法对经手术病理确诊的9例腹壁子宫内膜异位症的CT表现进行分析。结果所有病例CT平扫与肌肉呈等密度,增强后明显均匀或不均匀强化,边界清楚,结合临床均能得出正确诊断。结论 CT检查能发现腹壁子宫内膜异位症,但无特异性,诊断必须密切结合临床。
[关键词] 子宫内膜异位症;体层摄影术;螺旋计算机
[中图分类号] [文献标识码] A[文章编号] 1674-4721(2014)03(c)-0117-03

CT diagnosis of abdominal wall endometriosis
WANG Zhen-long1 YAO Chuan-hui2
Room,Cang County Hospital of Hebei Province,Cang County 061000,China; of Surgery,Cang County Hospital of Hebei Province,Cang County 061000,China
[Abstract] Objective To explore the CT manifestations of abdominal wall endometriosis in order to improve the diagnostic coincidence rate. Methods The CT manifestations 9 cases of abdominal wall endometriosis who surgical pathology diagnosed by CT examination were analyzed. Results In all cases,CT scan and muscle showed equal density,it showed remarkable homogeneous or inhomogeneous aggrandizement after enhancement with clear boundary. Combined with clinical were obtained correct diagnosis. Conclusion CT examination can find abdominal wall endometriosis,but no specificity,and the diagnosis must be bined with clinic.
[Key words] Endometriosis;Tomography;puter
子宫内膜异位症是指具有生长功能的子宫内膜生长于子宫腔以外的部位,造成痛经等一系列与月经有关的临床症状,是育龄妇女的常见病。盆腔外的子宫内膜异位症少见,仅占1%~10%,可以发生在手术切口、膀胱、脐部、肺、心包、肾脏、肠道等部位。由于剖宫产的增加,发生在腹壁的子宫内膜异位症增多,但CT检查的影像资料缺少,现就本院经手术病理确诊的9例腹壁子宫内膜异位症的CT征象与病理进行对照分析,以提高对腹壁子宫内膜异位症的CT诊断水平,减