卵巢黏液性囊腺瘤患者的磁共振成像影像学特征及临床应用价值分析  

Analysis on magnetic resonance imaging features and clinical application value of patients with ovarian mucinous cystadenoma

作　　者：陆荣成 许莉 徐忆宁 邓冬平 胡赟[5] LU Rong-cheng;XU Li;XU Yi-ning;DENG Dong-ping;HU Yun(Department of Radiology,Traditional Chinese Medicine Hospital of Huzhou,Huzhou,Zhejiang 313000,China;不详)

机构地区：[1]湖州市中医院放射科,浙江湖州313000 [2]湖州市妇幼保健院妇产科 [3]湖州市中心医院放射科 [4]湖州市第一人民医院放射科 [5]湖州市中医院病理科

出　　处：《中国妇幼保健》2024年第10期1907-1910,共4页Maternal and Child Health Care of China

基　　金：浙江省中医药科技计划项目(2024ZL1015)。

摘　　要：目的 探讨卵巢黏液性囊腺瘤患者的磁共振成像(MRI)影像学特征及对良性黏液性囊腺瘤和交界性黏液性囊腺瘤的诊断价值。方法 选取2020年4月-2023年8月湖州市中医院收治的92例卵巢黏液性囊腺瘤患者,依据病理结果分为良性组(50例)和交界组(42例),对所有患者进行MRI检查。分析两组患者MRI影像学特征和信号强度;比较单房和多房的卵巢良性黏液性囊腺瘤和交界性黏液性囊腺瘤的瘤壁及间隔厚度;对比MRI诊断卵巢良性黏液性囊腺瘤和交界性黏液性囊腺瘤的准确度;分析MRI对卵巢交界性黏液性囊腺瘤的诊断价值。结果 与良性组比较,交界组蜂窝状子房(20.00%vs. 45.24%)、囊壁及分隔不规则增厚≥5 mm(10.00%vs. 35.71%)、结节或乳头状突起≥5 mm(8.00%vs. 69.05%)、T1WI含高、等信号(18.00%vs. 59.52%)、T2WI含低、等信号(18.00%vs. 45.24%)出现率显著更高,T1WI单一低信号(72.00%vs. 19.05%)、T2WI单一高信号(70.00%vs. 45.24%)出现率更低(均P<0.05)。与良性组比较,交界组多房囊腺瘤间隔厚度[(3.14±1.03)mm vs.(6.23±1.15)mm]显著更高(t=13.590,P<0.05)。MRI对卵巢交界性黏液性囊腺瘤的检出正确率为90.48%,显著高于卵巢良性黏液性囊腺瘤检出正确率(72.00%),差异有统计学意义(χ^(2)=4.951,P<0.05)。MRI诊断卵巢交界性黏液性囊腺瘤的曲线下面积(AUC)为0.812。结论 MRI可以详细显示卵巢交界性黏液性囊腺瘤患者的病理特征,有效鉴别卵巢良性黏液性囊腺瘤和交界性黏液性囊腺瘤,具有一定临床应用价值。Objective To explore the imaging features of magnetic resonance imaging(MRI) in patients with ovarian mucinous cystadenoma and the diagnostic value for ovarian benign mucinous cystadenoma and borderline mucinous cystadenoma.Methods Ninety-two patients with ovarian mucinous cystadenoma admitted to Traditional Chinese Medicine Hospital of Huzhou from April 2020 to August 2023 were selected and divided into benign group(50 cases) and borderline group(42 cases) according to pathological results, MRI was performed.MRI imaging features and signal intensity of the two groups were analyzed.The wall and septal thickness of single and multilocular ovarian benign mucinous cystadenoma and borderline mucinous cystadenoma were compared.The accurate rates of MRI in diagnosis of ovarian benign mucinous cystadenoma and borderline mucinous cystadenoma were compared.The diagnostic value of MRI for ovarian borderline mucinous cystadenoma was analyzed.Results Compared with benign group, the rates of honeycomb ovary(20.00% vs. 45.24%), irregular thickening of cyst wall and septa≥5 mm(10.00% vs. 35.71%), nodules or papillae≥5 mm(8.00% vs. 69.05%), high and equal signals in T_(1)WI(18.00% vs. 59.52%), low and equal signals in T_(2)WI(18.00% vs. 45.24%) in borderline group were higher, the rates of single low signal in T_(1)WI(72.00% vs. 19.05%) and single high signal in T_(2)WI(70.00% vs. 45.24%) in borderline group were lower(all P<0.05).Compared with benign group, the septal thickness of multilocular mucious cystadenoma in borderline group [(3.14±1.03) mm vs.(6.23±1.15) mm] was significantly higher(t=13.590, P<0.05).The correct detection rate of MRI for ovarian borderline mucinous cystadenoma was 90.48%, which was significantly higher than that of ovarian benign mucinous cystadenoma(72.00%), there was statistically significant difference(χ^(2)=4.951,P<0.05).The area under the diagnostic curve of MRI for ovarian borderline mucinous cystadenoma was 0.812.Conclusion MRI can show the pathological features of ovarian borderline muci

关 键 词：卵巢黏液性囊腺瘤 卵巢交界性黏液性囊腺瘤 磁共振成像 影像学特征 诊断价值 

分 类 号：R737.31[医药卫生—肿瘤]