目的 总结卵巢黄体囊肿破裂出 血的超声、CT表现及二者对该病的临床 诊断价值。方法 收集我院2013年8月至 2016年4月期间收治的53例卵巢黄体囊肿 破裂出血患者进行回顾性分析，总结患者 超声、CT表现，比较两种检查方法的诊断 符合率。结果 41例行超声检查患者中， 共15例明确诊断，诊断符合率为36.6%； CT检查共明确诊断43例，诊断符合率为 81.1%。两种检查方法诊断符合率的差异 有统计学意义(P﹤0.05)。超声可将HCLC患 者分为破裂型与未破裂型。破裂型卵巢黄 体囊肿合并出血患者超声表现为盆腔内囊 实性肿物，声像图可见实性中强回声，形 态欠规则，合并大量盆腹腔积液。未破裂 型表现为盆腔内可见多房分隔的囊性肿 物，分隔由中心向四周放射状分布，即呈 “章鱼样”分布，或具有分层征。CT检查 表现为囊性肿块，密度欠均，囊肿壁不完 整，可见破口，囊肿周围可见血液或血 块，腹腔与盆腔内低密度影、囊肿内高密 度影。结论 与腹部超声相比，CT诊断卵 巢黄体囊肿破裂出血具有更高诊断符合 率，应用价值更高，且CT表现更利于与停 经、阑尾炎、异位妊娠破裂、卵巢囊肿蒂 扭转等疾病的鉴别，减少误诊。结合超声 征象可对患者进行分型，最终为临床治疗 方案提供参考。

Objective To summarize the findings of ultrasonography and CT in hemorrhage corpus luteum cyst (HCLC) and their clinical value in the diagnosis of the disease. Methods The medical records of 53 patients with HCLC treated in our hospital from August 2013 to April 2016 were analyzed retrospectively. The ultrasonography and CT findings were summarized. The diagnostic accordance rates were compared between the two methods. Results A total of 15 cases were diagnosed by ultrasonography in 41 cases, and the diagnostic accuracy was 36.6%, a total of 43 cases were diagnosed by CT, and the diagnostic accuracy was 81.1% (P＜0.05). Patients with HCLC were divided into ruptured type and unruptured type. The ultrasonography findings of patients with ruptured HCLC complicated with hemorrhage were pelvic cystic and solid tumors, ultrasonogram showing solid moderate to strong echo with irregular shape and with large amount of pelvic and peritoneal effusions. The findings of patients with unruptured HCLC were multilocular separated cystic masses in the pelvic cavity, separation distributing from the center to the periphery radial distribution, namely, octopus-like distribution, or with stratified sign. CT showed cystic masses, inhomogeneous density, incomplete cyst wall, with break, blood or blood clots surrounding cyst, low density shadow in abdominal cavity and pelvic cavity and high density shadow in cysts. Conclusion Compared with abdominal ultrasonography, the accordance rate of CT in the diagnosis of HCLC is higher and application value is higher. Besides, CT is more conducive to differential diagnosis of menopause, appendicitis, ectopic pregnancy rupture, ovarian cyst torsion and other diseases and can reduce misdiagnosis. Combined with ultrasonography signs, patients can be typed and it ultimately provide references for clinical treatment.