盆腔附件囊实性病变患者MSCT、MRI影像征象及鉴别诊断价值研究  

Signs and Differential Diagnosis Value of MSCT and MRI Images of Patients with Cystic and Solid Lesions in Pelvic Attachment

作　　者：陈欣[1] 余洋[1] 冯杨 CHEN Xin;YU Yang;FENG Yang(Department of Gynecology,Mianyang People's Hospital,Mianyang 621000,Sichuan Province,China)

机构地区：[1]绵阳市人民医院妇科,四川绵阳621000

出　　处：《中国CT和MRI杂志》2022年第7期146-148,共3页Chinese Journal of CT and MRI

基　　金：四川省卫生健康委员会科研课题(19PJ0019)。

摘　　要：目的MSCT、MRI影像征象及鉴别诊断价值。方法回顾性分析2017年至2019年10月收治的67例盆腔附件囊实性病变患者的临床资料。比较不同检查对盆腔附件囊实性病变的诊断准确率,分析其影像学征象。结果.MSCT对盆腔附件囊实性病变的总诊断准确率为9104%(61/.67),MRI盆腔附.件囊实性病变的总诊断准确率为9701%(65/67)(P>005)。子宫肌瘤19例可见液体信号,8例为单纯水样信号。子宫内膜癌,3例患者子宫内膜不规则增厚。卵巢囊腺癌9例患者,T1WI呈稍高或高信号、T2WI呈高信号为主隔。子宫内膜癌患者中,9例未见明显强化,7例呈轻度强化。4例卵巢囊腺癌患者囊壁较厚,可见乳头状突起。结论MSCT可清晰显示病变的类型及位置,MRI检查可动态显示病变形态及与周围组织关系,结合两者影像学表现可有效鉴别盆腔附件良恶性囊实性病变,提高诊断准确率。Objective To analyze the signs and differential diagnosis value of MsCT and MRI images of patients with cystic and solid lesions in pelvic attachment. Methods The clinical data of 67 patients with cystic and solid lesions in pelvic attachment admitted from 2017 to October 2019 were retrospectively analyzed. The diagnostic accuracy of different examinations for cystic and solid lesions in pelvic attachment was compared, and the imaging signs were analyzed. Results The total diagnostic accuracy of Ms CT for cystic and solid lesions in pelvic attachment was 91.04%(61/67), and the total diagnostic accuracy of MRI for cystic and solid lesions in pelvic attachment was 97.01%(65/67)(P>0.05). In 19 cases with uterine fibroids, liquid signals were seen, and 8 cases showed simple water-like signals. In endometrial cancer, 3 patients had irregular thickening of the endometrium. In 9 patients with ovarian cystadenocarcinoma, T1WI showed a slightly high or high signal, and T2WI showed a high signal. In the patients with endometrial cancer, 9 had no significant enhancement and 7 had mild enhancement. Four patients with ovarian cystadenocarcinoma had thicker cystic walls and showed papillary protuberance. Conclusion Ms CT can clearly show the type and location of the lesion. MRI examination can dynamically display the shape of the lesion and its relationship with the surrounding tissue. Combining the imaging features of the two can effectively identify the benign and malignant cystic and solid lesions of the pelvic attachment and improve the diagnostic accuracy.

关 键 词：多层螺旋CT 磁共振成像 盆腔附件囊实性病变 

分 类 号：R445.3[医药卫生—影像医学与核医学] R711.33[医药卫生—诊断学]