子宫阔韧带平滑肌瘤MRI诊断价值  

The MRI diagnostic value of the broad ligament of the uterus leiomyoma

作　　者：李云[1] 李彩[1] 赵沅杰 

机构地区：[1]郑州市第七人民医院,河南郑州450016

出　　处：《泰山医学院学报》2016年第10期1116-1118,共3页Journal of Taishan Medical College

摘　　要：目的探讨子宫阔韧带平滑肌瘤的MRI诊断价值。方法回顾性分析23例经手术病理证实的子宫阔韧带平滑肌瘤的术前MRI影像学表现,分析肿瘤部位、大小、形态、信号及与子宫的关系等。结果子宫阔韧带平滑肌瘤位于子宫左侧10例,右侧7例,子宫后方4例,两侧2例;19例呈类圆形或椭圆形,4例呈不规则形或分叶状;大小不等;16例可见完整包膜,7例包膜显示不清。MRI信号主要表现为T1WI、T2WI等或略低信号。DWI显示病灶呈等或稍高信号,ADC图病灶信号呈略低信号。脂肪抑制序列上病灶信号高于子宫肌层。10例信号均匀,13例表现为混杂信号;10例合并有子宫肌壁间、黏膜下、浆膜下肌瘤,4例合并子宫腺肌病。8例可见卵巢囊肿。盆腔积液6例。结论子宫阔韧带平滑肌瘤MRI表现有一定特点,MRI对子宫阔韧带平滑肌瘤有定性和定位诊断价值,术前可清楚显示肿瘤的位置、大小及周围结构关系。最终确诊仍需依赖手术病理。Objective： To investigate the MRI diagnostic value of the broad ligament of the uterus leiomyoma. Methods：A retrospective analysis of 23 cases confirmed by surgery pathology of the broad ligament of the uterus leiomyoma preoperative MRI imaging findings,analysis content including tumor location,size,signal and the relationship with the uterus,etc.Results： 10 cases of the left side of the broad ligament of the uterus leiomyoma of uterus,7 cases,on the right side of the uterus rear 4 cases,2 cases on both sides; 19 cases of circular or elliptic,4 cases of irregular shape or lobulated; Sizes; 16 cases of complete capsular,7 cases of capsular display is not clear. The main MRI signal T1 WI,T2WI,etc,or slightly low signal. DWI showed lesions can show,or slightly high signal,ADC figure lesions signals is slightly lower. Lesions on fat suppression sequence signal is higher than that of myometrium. 10 cases of signal even,13 cases of mixed signal; 10 cases with muscle intramural uterine,submucosal,subserosal fibroids,4 cases with uterine adenomyosis. 8 cases of ovarian cyst.6 patients with pelvic cavity accumulates fluid. Conclusion： MRI performance broad ligament of the uterus leiomyoma have certain characteristics,MRI is qualitative and positioning for broad ligament of the uterus leiomyoma diagnostic value and preoperative can clearly show the location of the tumor,the size and the surrounding structures. The final diagnosis still need to rely on the surgical pathology.

关 键 词：子宫阔韧带 平滑肌瘤 磁共振成像 

分 类 号：R737.33[医药卫生—肿瘤]