【摘要】 目的 研究输卵管积水的MSCT及MRI影像学特点。方法 回顾性分析28例经手术及病理证实的输卵管积水的CT及MRI检查资料，术前25例行CT平扫及增强扫描，3例行MRI平扫及增强扫描。结果 19例输卵管积水为单侧（左侧12例，右侧7例）,9例为双侧，CT及MRI均表现为附件区囊性包块，形态多样，病变呈腊肠状改变16例，串珠状9例，多囊型8例，曲颈瓶型4例。CT平扫病变为水样低密度，MRI表现为T₁WI呈低信号，T₂WI呈高信号，增强扫描后可见囊壁明显均匀强化，无强化壁结节，有分隔病灶者见分隔轻度强化。14例伴有慢性输卵管炎，2例合并输卵管周围筋膜增厚，3例合并子宫肌瘤，17例合并盆腔积液。结论 输卵管积水的MSCT和MRI表现具有一定特征性。更多还原

【Abstract】 Objective To explore the MSCT and MRI characteristics of hydrosalpinx.Methods The CT and MRI findings of 28patients with hydrosalpinx confirmed by surgery and pathology were retrospectively studied.Before operation,the plain and contrast enhanced CT in 25 patients and the plain and contrast enhanced MRI in 3 had been carried out.Results 19 patients with unilateral hydrosalpinx（12 on the left and 7 on the right side） and 9 patients with bilateral hydrosalpinx were found.Both CT and MRI images showed the cystic mass with different forms in annex area,including botuliform changes in 16 patients,beaded form in 9,polycystic changes in 8 and retort-like changes in 4.The low density as water on plain CT,and the low signal on T₁WI and high signal on T₂WI were showed.The cystic walls were significantly enhanced without nodules.If there is septum,mild enhancement was also found.14patients with chronic salpingitis,2 with fascial thickening,3 with uterine fibroid and 17 with pelvic fluid.Conclusion CT and MRI findings of hydrosalpinx are characteristic.更多还原