卵巢腺纤维瘤的临床CT和MRI表现  

The analysis of ovarian adenofibroma on clinical,CT and MRI features

作　　者：洪居陆[1] 高明勇[1] 李慧 申小明[1] 潘爱珍[1] 

机构地区：[1]广东省佛山市第一人民医院影像科,528000 [2]广东省佛山市第一人民医院胸腹放疗科,528000

出　　处：《实用医学杂志》2017年第17期2922-2925,共4页The Journal of Practical Medicine

基　　金：2015年佛山市科技创新平台建设项目(编号:2015AG1004);佛山市医学重点专科培育项目(编号:Fspy3-2015013)

摘　　要：目的对卵巢腺纤维瘤(OAF)的临床、CT及MRI表现分析,提高诊断水平。方法对92例OAF临床、CT及MRI资料回顾性分析,总结其特点。结果 OAF单侧发生概率占91.3%,浆液性占89.1%、良性占97.8%,伴有子宫或/和卵巢病变占40.2%。OAF临床表现不典型,按有无伴随子宫或(和)卵巢病变分为2组,对临床表现及实验室指标对比分析,发现仅月经异常发生率的差异有统计学意义,而其他指标的差异无统计学意义。CT平扫、CT及MRI增强表现无特征性,而MRI T2W"I黑色海绵征"和DWI高信号出现概率分别为40.0%、65.0%。结论 MRI T2W"I黑色海绵征"和DWI高信号可能有助OAF诊断。Objective To explore the clinical, CT and MRI features of ovarian adenofibroma （OAF） and improve the diagnostic level. Methods Ninety-two cases of OAFs were analyzed retrospectively and summarized the features including clinical manifestations, CT and MRI images. Results The probability of unilateral, serous and benign OAFs were 91.3%, 89.1% and 97.8%. OAFs associated with uterine or/and ovarian lesions was 40.2%. The clinical manifestations of OAF was not typical. These OAFs were divided into 2 groups according to whether or not accompanied with uterus or/and ovarian lesions. The clinical manifestations and laboratory indexes were only found abnormal menstruation rate （P 〈 0.05 ）, but there were no significant difference between other indexes. The performance of CT plain scan and CT/MRI enhanced scan had not characteristic.The percentage of the ＂black sponge＂ on T2WI image and hyperintensity on DWI image of OAFs were 40.0% and 65.0%. Conclusion The ＂black sponge＂ on T2WI image and hyperintensity on DWI image may be helpful to diagnose OAF.

关 键 词：卵巢腺纤维瘤 临床表现 计算机体层摄影术 磁共振成像术 

分 类 号：R445.2[医药卫生—影像医学与核医学] R730.44[医药卫生—诊断学] R737.31[医药卫生—临床医学]