卵巢囊性病变患者采用MR影像检查对病变类型的鉴别作用  

The Role of MR Imaging in Distinguishing the Type of Ovarian Cystic Lesions

作　　者：黄君君[1] 罗森[1] 刘振华[1] HUANG Junjun;LUO Sen;LIU Zhenhua(Department of Medical Imaging,the First Hospital of Nanping City,Nanping,Fujian Province,353000 China)

机构地区：[1]福建省南平市第一医院医学影像科,福建南平353000

出　　处：《中外医疗》2021年第14期180-182,共3页China & Foreign Medical Treatment

摘　　要：目的探讨对卵巢囊性病变实施磁共振(MR)检查的鉴别诊断价值。方法方便选取2016年3月—2020年5月该院所收治的卵巢囊性病变患者77例,均经由病理学检查得到确诊,所有患者均接受MR检查,并根据影像学结果对其进行分型判断。结果77例患者的病理检查结果显示,其中21例为卵巢单纯囊肿,19例为卵巢囊性畸胎瘤,12例为卵巢囊腺瘤,11例为卵巢子宫内膜异位囊肿,6例为卵巢冠囊肿,3例为卵巢腹膜包裹性囊肿,5例卵巢囊腺癌;MR检查共计检出卵巢单纯囊肿21例,卵巢囊性畸胎瘤19例,卵巢囊腺瘤12例(7例卵巢浆液性囊腺瘤,5例卵巢黏液性囊腺瘤),10例卵巢子宫内膜异位囊肿,6例卵巢冠囊肿,7例卵巢囊腺癌,3例卵巢腹膜包裹性囊肿。其中,1例卵巢浆液性囊腺瘤被误诊为黏液性囊腺瘤,1例卵巢浆液性囊腺瘤被误诊为卵巢囊腺癌,1例卵巢子宫内膜异位囊肿误诊为陈旧型宫外孕。结论磁共振检查是一种有效的软组织成像技术,用于卵巢囊性病变诊断中可有效对不同类型、不同性质的病变进行鉴别,具有较高的诊断准确率,对于临床针对性治疗方案的制定具有十分重要的意义。Objective To explore the differential diagnosis value of magnetic resonance(MR)examination for ovarian cystic lesions.Methods A total of 77 patients with ovarian cystic lesions admitted to the hospital from March 2016 to May 2020 were convenient selected.All patients were diagnosed through pathological examinations.All patients received MR examinations,and their classification was judged based on the imaging results.Results The pathological examination results of 77 patients showed that 21 of them were simple ovarian cysts,19 were ovarian cystic teratomas,12 were ovarian cystadenoma,11 were ovarian endometriotic cysts,and 6 were ovarian cystic teratomas,3 cases were ovarian peritoneal encapsulated cysts,5 cases were ovarian cystadenocarcinomas;21 cases of simple ovarian cysts,19 cases of ovarian cystic teratomas,and 12 cases of ovarian cystadenomas were detected by MR examination in this study(7 cases of ovarian serous cystadenoma,5 cases of ovarian mucinous cystadenoma),10 cases of ovarian endometriosis cyst,6 cases of ovarian crown cyst,7 cases of ovarian cystadenocarcinoma,3 cases of ovarian peritoneal encapsulation cyst.Among them,1 case of ovarian serous cystadenoma was misdiagnosed as mucinous cystadenoma,1 case of ovarian serous cystadenoma was misdiagnosed as ovarian cystadenocarcinoma,and 1 case of ovarian endometriosis cyst was misdiagnosed as old ectopic pregnancy.Conclusion Magnetic resonance examination is an effective soft tissue imaging technique.It can effectively identify different types and different types of lesions in the diagnosis of ovarian cystic lesions.It has a high diagnostic accuracy rate and is useful for the formulation of clinically targeted treatment plans,which has a very important meaning.

关 键 词：卵巢囊性病变 磁共振检查 病变类型 鉴别价值 

分 类 号：R4[医药卫生—临床医学]