女性盆腔良性占位性病变的MRI诊断与鉴别诊断  

Pelvic benign occupying diseases in woman：MR imaging diagnosis and differential diagnosis

作　　者：杨鸿超 储成凤[2] 徐柏林 嵇红波 赵铭力 朱虹 

机构地区：[1]南京同仁医院影像科,江苏南京211100 [2]东南大学医学院附属中大医院影像科 [3]南京同仁医院妇科

出　　处：《实用放射学杂志》2012年第7期1072-1074,共3页Journal of Practical Radiology

摘　　要：目的评价MRI对女性盆腔良性占位病变的诊断价值。方法回顾性分析33例经手术病理证实的盆腔良性占位病变患者的MRI征象。结果33例手术病理检出64个病灶，MRI检出59个（59／64，92．2％），3个子宫肌瘤及2个成熟畸胎瘤MRI未检出而漏诊（5／64，7．8％）。MRI检出的59个病灶巾57个病灶部位与手术病理一致，准确性为96．6％（57／59），56个病灶MRI诊断结果与手术病理相符，符合率94．9％（56／59）。子宫病变主要表现为实质性肿块或子宫内膜增厚；卵巢病变主要表现为囊性、囊实性肿块影。结论MRI对盆腔良性肿块的定位具有很高的准确性，对良性肿块的鉴别诊断亦具有较高的准确性。Objective To analyse the value of MR imaging in diagnosis and differential diagnosis of female pelvic benign occupying disease. Methods MR imaging characteristics of female pelvic benign occupying diseases in 33 cases（64 lesions） proved by pathology were retrospectively analysed. Results Atotal of 59 masses（59/64,92.2%） were detected by MRI,including 29 leiomyomas of the uterus,4 cases with adenomyosis, 17 ovarian cysts,5 ovarian teratomas,hydrosalpinx in 3 cases and ovarian cystadenoma in 1 case. In contrast to surgery and pathology, the accurate rates of MR imaging in localizing and qualitative diagnosis of lesions were 96.6 % （57/ 59 ） and 94.9%（ 56/59 ）, respectively. Uterus diseases mainly demonstrated as solid tumor masses or endometrial thickening, ovarian diseases mainly demonstrated as cystic or cystic and solid tumor masses. Conclusion MR imaging is of significant value in diagnosis and differential diagnosis of female pelvic benign ccupying masses.

关 键 词：忿腔 盆腔肿瘤 良性 磁共振成像 

分 类 号：R739.93[医药卫生—肿瘤] R445.2[医药卫生—临床医学]