Abstract: objective: Analysis of CT imaging characteristics of tubal pathological changes, to explore the clinical application value of CT in the diagnosis of the disease. Methods: 58 cases were confirmed by surgery and pathology was retrospectively analyzed the CT manifestation of tubal pathological changes, and with laparoscopic and conventional surgical and pathological results contrast analysis. Results: CT diagnosis of hydrosalpinx 20 cases, empyema 8 cases of fallopian tubes, oviduct ovarian abscess in 1 case, tubal torsion in 1 case, 5 cases of tubal pregnancy, mesosalpin. Conclusion: Tubal pathological changes have certain characteristic CT performance, CT scan as attachment area circuitry tubular cystic density, according to the characteristics of CT enhancement, closely combined with clinical and attaches great importance to the comprehensive analysis of the imaging manifestations of the disease, can make a definite diagnosis.