Huch Böni R A, Heusler R H, Hebisch G, Krestin G P
Departement Medizinische Radiologie, Klinik für Geburtshilfe, Universitätsspital Zürich.
Radiologe. 1994 Jul;34(7):390-6.
Inflammatory disease of the female pelvis can be diagnosed both on the basis of clinical symptoms and complementary ultrasound. The role of CT and MRI is limited to complicated cases. CT guidance allows the biopsy needle to be localized precisely for diagnostic or therapeutic punctures. Furthermore, CT and MRI play an important role in the evaluation of prolonged puerperal fever of unknown origin: endomyometritis is associated with characteristic features in MRI, whereas puerperal ovarian vein thrombosis is best diagnosed using MR angiography. For other rare causes, MRI and CT have to be used according to clinical need.
女性盆腔炎性疾病可根据临床症状及辅助超声检查进行诊断。CT和MRI的作用仅限于复杂病例。CT引导可精确确定活检针位置,用于诊断性或治疗性穿刺。此外,CT和MRI在评估不明原因的产褥期长期发热方面发挥着重要作用:子宫内膜炎在MRI上有特征性表现,而产褥期卵巢静脉血栓形成最好通过磁共振血管造影进行诊断。对于其他罕见病因,MRI和CT必须根据临床需要使用。