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目的：探讨ＣＴ及Ｂ超诊断盆腔子宫内膜异位症的价值。材料和方法：回顾性分析１５例经手术病理证实的盆腔子宫内膜异位症影像学改变。结果：１２例表现为卵巢宫内膜异位囊肿，ＣＴ及Ｂ超主要表现：（１）常为两侧性，外形多呈分房状；（２）内部液体密度偏高、不一致或出现分层，液性暗区底部有可移动的光点；（３）壁稍厚欠均匀、边缘毛糙，与周围结构明显粘连。１例肠道壁实性肿物，两例盆腔粘连致输尿管狭窄及肾积水。结论：综合分析ＣＴ等影像学表现，密切结合临床尤其是与月经来潮的关系，有助于术前定性诊断。
Objective: To investigate the diagnostic value of CT and B ultrasound in pelvic endometriosis. Materials and Methods: A retrospective analysis of 15 cases of pathologically confirmed pelvic endometriosis imaging changes. Results: Twelve cases of ovarian endometriosis cysts, CT and B-ultrasound main performance: (1) often bilateral, the appearance of mostly sub-housing; (2) the internal liquid density is high, inconsistent or appear points Layer, liquid dark area at the bottom of a movable light spot; (3) slightly thicker wall less uniform, rough edges, and the surrounding structure was clearly adhesions. 1 case of intestinal wall solid tumors, pelvic adhesions caused by two cases of ureteral stricture and hydronephrosis. Conclusion: Comprehensive analysis of CT and other imaging findings, combined closely with clinical, especially with the relationship between menstrual cramps, contribute to the preoperative diagnosis.