Donaldson Carolyn K
Department of Radiology, NorthShore University HealthSystem, 2650 Ridge Avenue, Evanston, IL 60201, USA.
Radiol Clin North Am. 2015 Nov;53(6):1293-307. doi: 10.1016/j.rcl.2015.06.012.
Premenopausal women with acute pelvic pain comprise a significant percentage of patients who present to the emergency room. Etiologies can be gynecologic, urologic, gastrointestinal, or vascular. Signs and symptoms are often nonspecific and overlapping. The choice of imaging modality is determined by the clinically suspected differential diagnosis. Ultrasound (US) is the preferred imaging modality for suspected obstetric or gynecologic disorders. CT is more useful when gastrointestinal or urinary tract pathology is likely. MR imaging is rarely used in the emergent setting, except to exclude appendicitis in pregnant women. This article presents a comprehensive review of imaging of acute gynecologic disorders.
有急性盆腔疼痛的绝经前女性占急诊室就诊患者的相当比例。病因可能是妇科、泌尿科、胃肠道或血管方面的。体征和症状往往不具特异性且相互重叠。成像方式的选择取决于临床怀疑的鉴别诊断。超声（US）是怀疑产科或妇科疾病时的首选成像方式。当可能存在胃肠道或泌尿系统病变时，CT更有用。磁共振成像（MR）在急诊情况下很少使用，除非是排除孕妇的阑尾炎。本文对急性妇科疾病的成像进行了全面综述。
