目的研究卵巢囊肿蒂扭转采用 螺旋CT经多平面重建技术的临床诊断价 值。方法 选取2012年12月-2014年12月 期间入院检查的30例卵巢囊肿蒂扭转患者 定义为研究对象，采用回顾性分析的方式 对其临床资料、螺旋CT检查多平面重建 征象等进行研究，并以病理组织诊断结 果为标准对其进行评价。结果 CT平扫检 查中囊肿蒂扭转部位主要征象为不规则实 性肿块或绳索状，密度不均；囊壁呈现为 均匀或不均匀增加；增强扫描发现强化降 低或未见强化，同时还可对积液情况进行 反馈。25例囊内密度均匀，2例分房状， 3例囊内出血，10例与前腹壁发生不同程 度粘连，5例患者囊肿破裂。与手术病检 结果相比，肿瘤直径、囊壁加厚厚度等指 标比较无明显统计学差异（P＞0.05）； 诊断准确率比较具有明显统计学差异（P ＜0.05）。结论 螺旋CT对卵巢囊肿蒂扭 转的诊断具有特异性征象表现，多平面重 建技术能够对CT轴位图像的不足进行弥 补，具有较高的临床使用价值。

Objective This paper is to investigate clinical diagnostic value of spiral CT multi-planar reconstruction technique applied on ovarian cyst pedicle torsion. Methods Thirty patients with ovarian cyst pedicle torsion admitted by the Hospital during the period from December, 2012 to December, 2014 were defined as research objects, clinical data and signs of spiral CT examination multi-planar reconstruction were investigated with the method of retrospective analysis, and the evaluation was made on them on the basis of histopathologic diagnosis. Results Major signs of CT scanning examination in the parts of ovarian cyst pedicle torsion included irregular solid mass or rope shape, uneven density, the increase in even or uneven cyst wall. The intensification reduction or unavailability of intensification was found in enhancement scanning, and effusion conditions were feed back in the mean time. Internal capsules of 25 patients showed uniform density, 2 patients showed multiloculated symptoms, 3 patients suffered from intracystic hemorrhage, abdominal walls of 10 patients suffered from adhesions at different extents, 5 patients suffered from cyst rupture. Compared with surgical disease inspection results There were significantly statistical differences (P>0.05) in tumor diameter, thickness of capsule wall thickening and other indicators when compared to disease examination results of surgeries. The comparison in accurate diagnosis was of significant statistical difference (P<0.05). Conclusions Spiral CT delivers specific signs in the diagnosis of ovarian cyst pedicle torsion are, and multi-planar reconstruction technique is capable of recovering the deficiency of CT axial images, delivering high value of clinical use.