【摘要】 目的:探讨输卵管脓肿的CT表现及其临床价值。方法:通过回顾性收集28例输卵管脓肿患者的CT增强图像,分析输卵管的结构及周围毗邻结构征象。结果:85.7%(24/28)例有明显管状结构,其中25%(6/24)例管壁光整;75%(18/24)管壁增厚,增强见静脉期管壁明显均匀强化。附件区囊实性包块占39.3%(11/28),肿块外缘模糊毛糙,增强呈实质成分及分隔明显强化,静脉期最明显;75%(21/28)直肠周围、骶骨前脂肪水肿模糊;96.4%(27/28)例盆腔积液;3.6%(1/28)伴有小肠梗阻。结论:CT表现在输卵管脓肿的定性诊断及病情评估中的价值明显。更多还原

【Abstract】 purpose:To explore the CT findings and clinical manifestations in the diagnosis of fallopian tube abscess(FTA).Methods:Twenty-eight patients with pathological confirmed FTA were enrolled in our study.All the patients underwent contrast enhanced CT scans.The CT features of them were analyzed. Results:The tube sign of the fallopian tube were shown in 24 cases(85.7%),25%(6/24) of them were shown with smooth wall,and 75%(18/24) of them manifested coarse wall with apparent enhancement. Poorly defined complex masses in adnexa area with apparent enhancement were shown in 11cases(39.3%). Increase of fat density around rectum and before sacral were shown in 21 cases(75%).Fluid accumulation in pelvic cavity were shown in 27/28 cases(96.4%).And small bowel obstruction was shown in 1 case(3.6%). Conclusion:CT examination plays an important role in diagnosis of fallopian tube abscess and clinical evaluation.更多还原