盆腔脂肪增多症的CT诊断

摘要

Objective To discuss the CT features of pelvic lipomatosis so as to explore the effects of CT in its diagnosis. Methods Retrospective analysis of CT features was made in ifve patients with pelvic lipomatosis. Results The feature of large fat density was revealed around the urinary bladder and rectums in 5 cases, among which there were two cases of glandular cystitis. Conclusion Pelvic Lucent is the typical CT feature in diagnosis of pelvic lipomatosis. Pelvic lipomatosis accompanied with glandular cystitis accounts for 40%(2/5) among 5 cases. Three-dimensional reconstruction of CT images, as a ifrst choice for diagnosis of pelvic lipomatosis, can display a large number of adipose tissues around the bladder and rectums and the morphological changes of the urinary system.%目的探讨盆腔脂肪增多症的CT表现和诊断价值。方法回顾性分析5例盆腔脂肪增多症的CT表现。结果 CT扫描5例均显示膀胱和直肠周围有大量脂肪密度影；合并有2例腺性膀胱炎。结论CT显示“骨盆透明”征（Plvic Lcent），是CT诊断盆腔脂肪增多症的特征性表现；盆腔脂肪增多症合并有腺性膀胱炎较多，占40%（2/5）；CT三维重建图像能清晰地显示膀胱和直肠周围有大量脂肪组织和泌尿系统的形态学变化，可作为诊断本病的首选确诊方法。