磁共振增强成像在输卵管积液中的应用价值  

Application Value of Enhanced Magnetic Resonance Imaging in Tubal Effusion

作　　者：朱辉 周建良[1] 钱林清[1] Zhu Hui;Zhou Jianliang;Qinan Linqing(Department of Radiology,Wuzhong People's Hospital,Suzhou,Jiangsu 215128)

机构地区：[1]苏州市吴中人民医院放射科,江苏苏州215128

出　　处：《现代医用影像学》2024年第2期348-352,共5页Modern Medical Imageology

摘　　要：目的:探讨磁共振增强成像在女性盆腔附件输卵管积液的应用价值。方法:撷取我院2017年1月至2021年12月磁共振诊断为输卵管积液的住院患者共112例,经临床手术及病理证实98例(误诊14例)患者的临床症状、磁共振征象及信号特点,治疗经过。结果:98例患者中输卵管积液77例,占78.57%,输卵管积脓21例,占21.43%;双侧35例,占35.71%,单侧63例,占64.29%;磁共振征象:呈扭曲管状、单囊、多囊及串珠状改变,部分可见分隔,T1WI低信号,T2WI高信号,合并输卵管积脓时,T1WI等高信号,DWI高信号,磁共振增强扫描囊腔不强化,囊壁及分隔可轻度强化,合并积脓时囊壁及分隔可明显增厚强化。结论:磁共振增强成像,能比较准确地显示输卵管积液的部位、形态、信号及性质,可以为输卵管积液的诊断及鉴别诊断提供重要的价值,且可以为患者提供有效的治疗方案。Objective:To investigate the application value of enhanced magnetic resonance imaging(MRI)in female pelvic adnexal salpinx.Methods:A total of 112 inpatients with tubal effusion diagnosed by MRI In our hospital from January 2017 to December 2021 were collected.The clinical symptoms,MRI Signs and signal characteristics of 98 patients(14 cases were misdiagnosed)were confirmed by clinical operation and pathology.Results:Among the 98 patients,77 cases were salpingo effusion(78.57%)and 21 cases were salpingo pyometra(21.43%).Bilateral 35 cases(35.71%),unilateral 63 cases(64.29%);MRI signs:twisted tube,single sac,polysac and beadlike changes,partial separation,low signal on TIWI,high signal on T2WI,high signal on TIWI and high signal on DWI with pyometra fallopian tube,no enhancement of cyst cavity on MRI,slight enhancement of cyst wall and septa,significantly thickening and enhancement of cyst wall and septa with pyometra fllopian tube.Conclusion:Enhanced magnetic resonance imaging can accurately display the position,shape,signal and nature of salpingo effusion,which can provide important value for the diagnosis and differential diagnosis of salpingo effusion,and can provide effective treatment for patients.

关 键 词：磁共振增强成像 输卵管积液 输卵管积脓 应用价值 

分 类 号：R445.2[医药卫生—影像医学与核医学] R711.76[医药卫生—诊断学]