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CT 在鉴别破裂卵巢黄体囊肿与破裂伴出血的异位妊娠中的诊断价值。

Diagnostic utility of CT in differentiating between ruptured ovarian corpus luteal cyst and ruptured ectopic pregnancy with hemorrhage.

机构信息

Department of Radiology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of TCM, Shanghai, 200437, China.

The Second Military Medical University, Shanghai, 200433, China.

出版信息

J Ovarian Res. 2018 Jan 9;11(1):5. doi: 10.1186/s13048-017-0374-8.

DOI:10.1186/s13048-017-0374-8
PMID:29316947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5761095/
Abstract

BACKGROUND

To evaluate the performance of computed tomography (CT) as a diagnostic aid to differentiate between ruptured ovarian corpus luteal cyst (ROCLC) and ruptured ectopic pregnancy with hemorrhage (REPWH).

METHODS

A total of 36 patients treated at our hospitals for ROCLC and REPWH from June 2014 to August 2017 were included in this study. Based on the diagnosis, the study population was divided into ROCLC group (n = 21) and REPWH group (n = 15). CT scans were performed for all patients prior to treatment. The size of the cystic shadows and the depth of the pelvic effusion were analyzed and compared with independent sample Student's t test and Fisher's exact test.

RESULTS

Cystic shadows with maximum diameters ≥3.0 cm presented in 16 patients with ROCLC and 1 patient with REPWH, while 4 patients with ROCLC and 9 patients with REPWH exhibited cystic shadows with maximum diameters <3.0 cm. The mean diameters along the major and minor axes in the two groups were 3.76 ± 1.11 cm and 2.93 ± 0.98 cm, 1.96 ± 0.65 cm and 1.60 ± 0.55 cm, respectively (p < 0.001). The mean depth of the pelvic effusion in patients with ROCLC and REPWH were 5.20 ± 2.47 cm and 6.96 ± 2.07 cm, respectively (p = 0.038).

CONCLUSION

The cystic shadow of ROCLC is larger than that of the REPWH. The depth of the pelvic effusion of REPWH is deeper than that of the ROCLC. CT can help differentiate between ROCLC and REPWH based on the size of the cystic shadow and the depth of pelvic effusion in the adnexal area.

摘要

背景

评估计算机断层扫描（CT）作为辅助诊断工具，以区分破裂的卵巢黄体囊肿（ROCLC）和破裂的异位妊娠伴出血（REPWH）。

方法

本研究纳入了 2014 年 6 月至 2017 年 8 月在我院治疗的 36 例 ROCLC 和 REPWH 患者。根据诊断，研究人群分为 ROCLC 组（n=21）和 REPWH 组（n=15）。所有患者在治疗前均行 CT 扫描。分析和比较了囊性阴影的最大直径和盆腔积液的深度，并采用独立样本 t 检验和 Fisher 确切检验。

结果

ROCLC 组有 16 例患者的囊性阴影最大直径≥3.0cm，1 例患者的 REPWH 组有囊性阴影最大直径≥3.0cm，而 ROCLC 组有 4 例患者和 REPWH 组有 9 例患者的囊性阴影最大直径<3.0cm。两组的长轴和短轴平均直径分别为 3.76±1.11cm 和 2.93±0.98cm、1.96±0.65cm 和 1.60±0.55cm（p<0.001）。ROCLC 和 REPWH 患者的盆腔积液平均深度分别为 5.20±2.47cm 和 6.96±2.07cm（p=0.038）。

结论

ROCLC 的囊性阴影大于 REPWH。REPWH 的盆腔积液深度大于 ROCLC。CT 可以根据附件区囊性阴影的大小和盆腔积液的深度帮助区分 ROCLC 和 REPWH。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8460/5761095/49ec4e51b941/13048_2017_374_Fig11_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8460/5761095/8879c7dd2f9b/13048_2017_374_Fig7_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8460/5761095/fd1be452202f/13048_2017_374_Fig9_HTML.jpg
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