CT诊断腹壁子宫内膜异位症的的临床研究

目的探讨CT对腹壁子宫内膜异位症的诊断价值。方法选择经病理证实的15例腹壁子宫内膜异位症患者,对其CT图像以及临床表现和病理资料进行回顾性分析。结果所有病灶均靠近手术切口处。7例完全位于脂肪层中,5例深达腹直肌,3例达腹膜。CT平扫表现为软组织密度灶,增强扫描呈均匀或不均匀强化。结论 CT在显示腹壁子宫内膜异位症的准确位置以及对周围组织的浸润情况具有应用价值。

Clinical study of CT in diagnosis of abdominal wall endometriosis

Objective To explore the diagnostic value of CT for abdominal wall endometriosis （AWE）. Methods 15 cases of patients with AWE whom proved by pathology were selected.Their CT imagings, clinical manifestation and pathological files was analyzed retrospectively. Results All the lesion sites of 15 cases were adjacent to the cesarean section.7 cases located in adipose layer,5 cases were deep to rectus abdominis,peritoneal were infiltrated in 3 cases.All lesion sites showed soft tissue density on CT plain scans,and showed homogeneous or heterogeneous enhancement on contrast-enhanced CT scans. Conclusion CT scan for abdominal wall endometriosis is valuable in identifying the detail of the lesion（such as location and infiltration into adjacent tissue）.