摘要
目的 分析盆腔包虫囊肿的ＣＴ表现,评价ＣＴ检查的价值。方法 21例经临床和(或)手术病理资料证实为包虫囊肿的病人均经ＣＴ检查,分析ＣＴ表现特点,并对照手术病理结果。结果3例单纯性包虫囊肿表现为盆腔内单发或多发的圆形或类圆形囊性低密度灶,不增强;17例多子囊性包虫囊肿,在囊性肿物内还可见更低密度大小不一的子囊;4例破裂感染者,因囊膜剥离而形成“双壁征”,“水蛇征”或“飘带征”;2例继发感染者囊液密度增高,囊壁及其内容物明显强化;囊肿钙化8例,表现为囊壁的弧线形钙化,或伴有内容物的钙化。结论 ＣＴ检查能准确地显示盆腔包虫囊肿的部位和形态特征,对该病的诊断和治疗有重要意义。
Objective To analyze the CT findings of pelvic cystic echinococcosis, and to assess the value of CT examination. Methods Twenty-one cases of pelvic cystic echinococcosis, confirmed by clinical and pathological results, underwent CT scanning. CT characters were analyzed and compared with pathology. Results Simple cystic echinococcosis appeared as single or multiple cystic lesions with round or oval shape, smooth boundary, and no enhancement after contrast medium administration in 3 cases; Different number and size of daughter cysts were detected inside the lesion in 17 cases; Ruptured lesions showed 'double wall', 'water snake', or 'flow ribbon' signs in 4 cases; Increase density of contents and enhanced cystic wall were demonstrated in 2 cases with companied infections. In 8 cases, calcification occurred on the cystic wall or extended inside the content. Conclusion CT could accurately demonstrate the location, appearance, internal structure, and adjacent situation of the cystic echinococcosis, providing valuable information for correct diagnosis and treatment.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2003年第1期79-81,共3页
Chinese Journal of Radiology
