CT在子宫肌瘤诊断的研究.docVIP

精品论文 参考文献 CT在子宫肌瘤诊断的研究 黄海波 (广西浦北县人民医院放射科 广西钦州 535300） 【摘要】目的 探究临床上CT对子宫肌瘤的诊断价值；方法 对本院于2009年2月至2012年4月收治的经手术和病理确诊的60例子宫肌瘤患者的CT平扫和增强扫描表现进行分析；结果 CT平扫发现，38例患者出现子宫弥漫性增大，22例患者呈分叶状；41例患者表现为密度较为均匀，19例患者的密度不均匀；46例患者出现子宫变形移位，14例患者没有明显变化；CT增强扫描发现，44例患者的子宫肌瘤呈现低密度，9例患者等密度，5例混杂密度，2例高密度；结论 CT检查是临床上诊断子宫肌瘤的可靠方法，有较高的诊断价值。 【关键词】CT 子宫肌瘤 诊断 【中图分类号】R730.4【文献标识码】A【文章编号】2095-1752（2012）30-0129-02 Research on the diagnosis of uterine fibroids by CT HUANG Hai-bo Department of Radiology，the Peoples Hospital in Pubei County in Guangxi Zhuang Autonomous Region，Qinzhou 535300，China 【Abstracts】Objective To explore the diagnosis value of CT for uterine fibroids clinically; Methods Chose 60 cases of myoma of uterus who were confirmed by surgery and pathology from February 2009 to April 2012, and analyzed the CT plain scan and enhanced performance of them; Results Through CT plain scan, we found that 38 cases were diffuse uterus increases, 22 patients performed lobes, the performance of the density of 41 patients were relatively uniform, another 19 patients were not uniform, 46 cases were found uterine deformation shift, and 14 patients did not change significantly; though CT enhancement scan showed, 44 patients with uterine fibroids present low density, 9 patients of uniform density, 5 cases of mixed density, 2 cases of high density; Conclusion CT is a reliable diagnosis method of uterine fibroids in clinical, which has a high diagnostic value. 【Keywords】CT uterine fibroids diagnosis 子宫肌瘤（Uterine fibroids），又称子宫平滑肌瘤，是女性生殖器最常见的一种良性肿瘤[1]，以多发性子宫肌瘤常见，多发病于30～50岁的妇女，临床表现多无症状，少数表现为阴道出血，腹部触及肿物以及压迫症状等。目前该病的病因不明，西医的治疗主要采用性激素或是手术治疗，中医针灸对本病的治疗也???有报道。对子宫肌瘤进行早检查、早诊断、早治疗，提前确诊治疗可以提高子宫肌瘤的治愈率和改善患者预后，对降低子宫肌瘤复发率及癌变率具有重要意义。为此，本院分析了子宫肌瘤患者CT表现，探究其诊断价值，现报道如下。 1 资料与方法 1.1 临床资料 选取本院于2009年2月至2012年4月收治的经手术和病理及CT检测确诊的60例子宫肌瘤患者，年龄为24～55岁，平均年龄为38.9岁。所有患者均有月经改变，有37例患者表现有月经经期延长、持续性或不规则阴道出血，29例出现腹部疼痛，可触及肿块，并伴有继发性贫血、尿频、尿急等，34例伴有伴有腰酸、腰痛、下腹坠胀等，另外10例无明显症状，但经