目的 分析卵巢纤维瘤和泡膜纤维瘤的CT表现特点,以提高诊断准确率.方法 回顾分析12例经手术病理证实的卵巢纤维瘤和泡膜纤维瘤的临床特点和CT表现.结果 (1)12例肿瘤中,卵巢纤维瘤5例,泡膜纤维瘤7例.(2)12例肿瘤均为单侧,左侧7例,右侧5例.(3)CT表现:卵巢纤维瘤为实性,较大时可有浅分叶;泡膜纤维瘤可为实性或囊实性,囊性病变区多为单房,囊壁厚薄均匀与实性区相延续.所有病变边缘清楚,强化不明显.结论 卵巢纤维瘤和泡膜纤维瘤的CT表现有一定特征性.%Objective To analyse the CT manifestations of ovarian fibromas and fibrothecomas and to improve the accuracy rate of the diagnosis. Methods The clinical and CT characteristics of the 12 cases with pathologically confirmed ovarian fibroma or fibrothecoma were reviewed. Results ( 1 ) Of the 12 cases, 5 were fibromas and 7 were fibrothecomas. (2)All the cases were unilateral, 5 were in the right and 7 were in the left. (3)On CT imaging,fibromas were solid and with shallow leaflet in big tumors. Fibrothecomas were solid or cystic-solid; the cystic part of every tumor was single, and the cystic walls were commonly uniform thickness and were extension of the solid part. All the tumors had clear borders; and had not obvious effect in contrast enhancement. Conclusion There are affirmative characteristics of ovarian fibromas and fibrothecomas on CT imaging.
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