【摘 要】目的：探讨螺旋CT在卵巢实性肿块的诊断价值，提高对该病的诊断水平。方法；回顾性分析经手术、病理证实的11例卵巢实性肿块的临床、CT影像资料，并与病理结果对照分析该病的CT特征。结果：11例卵巢实性肿块者，7例卵泡膜细胞瘤(OT)、3例纤维瘤(OF)及1例支持-间质细胞瘤(SLCT)，平扫呈低或等信号，增强扫描：2例OF不强化、1例OF及5例OT轻度强化、2例OT及1例SLCT明显强化。本组正确诊断8例(72.7%)，误诊阔韧带肌瘤2例、1例SLCT诊断为OT。结论：大多数OT、OF及SLCT影像学上呈实性肿块，在CT上较具有一定的特点，螺旋CT对该病具有一定的诊断价值。

    【关键词】卵巢；实性肿块；性索间质肿瘤；体层摄影术；X线计算机

    【中图分类号】R 445 【文献标识码】A 【文章编号】1004- 7484(2012)04- 0326- 02

    【Abstract】Objective：To analyze the characters of ovarian solid bump in CT, thus to improve diagnose of ovarian solid bump. Methods: Clinical and CT data of 11 ovarian solid bump patients verified by histopathological methods were retrospectively analyzed. Results: There are 7cases with ovarian thecoma, 3 cases with ovarian fibroma and 1case sertoli-Leydig cell tumor in 11 cases with ovarian solid bump, 2 cases with ovarian fibroma no intensified, 1 case with ovarian fibroma 5 cases have ovarian thecoma slightly intensified, 2cases ovarian thecoma and 1case sertoli-Leydig cell tumor show absolutely intensified .A total of 8 cases(72.7%) were detected by MRI,2 broad ligament leiomyoma and 1 sertoli-Leydig cell tumor was diagnosed as ovarian thecoma. Conclusion: Mostly ovarian thecoma ovarian thecoma, ovarian fibroma and sertoli-Leydig cell tumor are solid bumps in imaging and with a characteristic in CT.CT has high diagnosis value in this disease ......