目的 分析盆腔结核的CT及MRI 表现，探讨MSCT联合MRI及增强扫描对盆 腔结核包块的定性和定位价值。方法 选 取我院经腹水病理活检或手术证实的盆 腔结核肿块20例，有完整的CT、MRI及 增强扫描图像。结果 20例患者当中， CA125均有不同程度的增高，CA19-9升高 的有5例，CT及MRI表现为囊性者6例，囊 实性者11例，实性者3例，均有不同程度 腹水表现，腹膜不同程度的线状、结节 状增厚有15例，淋巴结肿大的有10例， 术前CT误诊7例，MRI6例。结论 通过 MSCT以及MRI征象的综合分析，能提高盆 腔结核肿块诊断符合率，尽可能为临床 提供更多信息，从而减轻盆腔肿块患者 的心理负担和压力。

Objective To discuss the value of CT combined with MRI in defining the localization and qualitative diagnosis of female pelvic tuberculosis mass. Methods A total of 20 cases of pelvic tuberculosis mass patients which confirmed by pathology were enrolled in our study, all cases underwent CT and MRI scans. Results Cancer antigen 125 (CA125) in serum increased in all patients in varying degrees, cancer antigen CA199(CA199) increased in 5 cases. There were 6 cases with complete cystic changes, and 11 cases were cystic-solid masses, 3 cases were solid mass. All the cases showed different degree of ascites. And there were 15 cases with varying degrees of peritoneal thickening, or linear, nodular shape of tihckening. Lymph nodes enlargement were found in 10 cases, and 7cases were misdiagnosed by CT while 6cases were misdiagnosed by MRI. Conclusion With a comprehensive analysis of MSCT combined with MRI , we can improve the accuracy rate in the diagnosis of pelvic tuberculosis mass, and can provide more information for clinic to alleviate the psychological burden and pressure of patients with pelvic tuberculosis mass.