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目的探讨侵袭性葡萄胎的CT表现及其临床应用价值。方法对13例经临床及病理证实的侵袭性葡萄胎病人行CT平扫及增强扫描,并对其CT表现进行分析。结果13例(100%)CT表现为:子宫明显增大,宫腔内多发大小不等的低密度囊泡影及等密度软组织影,子宫肌层不规则增厚且厚薄不均,其内亦可见低密度囊泡影,增强扫描显示囊壁及等密度软组织明显强化,CT值增加30～50HU。结论侵袭性葡萄胎的CT表现具有特征性,在其诊断和治疗中具有重要临床价值。
Objective To investigate the CT findings of invasive hydatidiform mole and its clinical value. Methods Thirteen patients with aggressive hydatidiform mole confirmed by clinical and pathological examination underwent CT scan and contrast-enhanced scan, and their CT findings were analyzed. Results Thirteen (100%) CT showed that the uterus increased significantly, intrauterine lesions of multiple sizes and different density cyst and soft tissue density, myometrium irregular thickening and uneven thickness, which also can be seen Low-density cyst shadow, enhanced scan showed that the cyst wall and the density of soft tissue was significantly enhanced CT value increased 30 ~ 50HU. Conclusion The CT appearance of invasive hydatidiform mole is characteristic, which has important clinical value in diagnosis and treatment.