卵巢子宫内膜异位囊肿低场MR表现及诊断价值.pdf

堕竺丝堡堂垫查!!!!竺兰!!鳖笙!塑』竺!i!!!!g堕g∑!!：!!盥!：!!!!! 卵巢子宫内膜异位囊肿低场MR表现及诊断价值 武庆利。付剑平，谢继明 (广东省东莞市大朗医院放射科广东东莞523770) 【摘 要】 目的：探讨卵巢子宫内膜异位囊肿的低场MRI表现及其诊断价值。方法：回顾性分析24例卵巢子宫内膜异 位囊肿MRI和B超检查．全部病例手术病理证实。结果：24例32个卵巢病变共63个卵巢子宫内膜异位囊肿．单侧16 例．双侧8例；21个卵巢为单发囊肿．11个卵巢为多发囊肿共42个囊肿．其中8个卵巢大囊肿周围伴有小囊肿．5个囊肿 内有分隔；T1Wl及1’2WI均呈高信号23(36．5％)个囊肿．Tl 缘完全毛糙不清38个。低场MR术前诊断63个卵巢子宫内膜异位囊肿．60个与病理相符．3个病理诊断为囊腺瘤；B超 术前诊断卵巢子宫内膜异位囊肿50个．未定性8个．未发现病变5个。结论：MRI和B超对卵巢子宫内膜异位囊肿的诊 显优于B超． 【关键词】卵巢；子宫内膜异位囊肿；磁共振成像；敏感性；特异性 中图分类号：R711．75；R445．2文献标识码：A 文章编号：1006·901l(2011)04—0579-04 LowfieldMR and valueof findingsdiagnostic ovarianendometrial cyst WU Qing—li。FUjian-ping．XIEji-ruing 523770·P．R．China Departmentofradiology·DalanghospitalofDongguanCity．Guangdong thelow—fieldMRfeaturesofovarianendometriaIandits value．Meth- [Abstract]Objective：Toinvestigate cyst diagnostic in· ods：24 withendometriosisofthe wereexaminedwiththeIow-fieldMR scanand ultrasonic patients ovary plain 15-type of32 in24 ofthemwereconfirmed were63ovarianendometriaI spection．AIl bypathology．Results：There cysts ovary pa。 in16 wasfoundin21crises．42inllovaries tients．unilateralovarian casesandblisterslin8cases；Single cysts cysts cyst with these．8caseshad the with in multiplecysts；Of small outsideof giantcyst；5 multipleseptationscysts．Cysts cysts as on WIand in23 on Wland