子宫肌瘤及子宫腺肌瘤MRI诊断及鉴别诊断.docVIP

子宫肌瘤及子宫腺肌瘤MRI诊断及鉴别诊断 　　[摘要] 目的 探究MRI诊断在子宫肌瘤和子宫腺肌瘤临床鉴别诊断中应用。 方法 方便选择该院2014年6月―2016年7月收治的58例高度疑似子宫肌瘤和子宫腺肌瘤患者，回顾性分析58例患者MRI影像学表现特征，分析MRI诊断子宫肌瘤和子宫腺肌瘤的准确性、敏感性和特异性。结果 58例患者中，32例为子宫肌瘤，26例为子宫腺肌瘤患者，MRI诊断子宫肌瘤和子宫腺肌瘤的准确性为91.37%、敏感性为75.00%和特异性为96.55%；子宫肌瘤MRI图像表现为T1WI 呈稍低或低信号，别诊断 [中图分类号] R445 [文献标识码] A [文章编号] 1674-0742（2017）01（b）-0185-03 [Abstract] Objective To study the application of MRI in the differential diagnosis of fibroid and solenoma. Methods 58 cases of patients highly suspected with fibroid and solenoma admitted and treated in our hospital from June 2014 to July 2016 were convenient selected， and the MRI imaging performance characteristics of them were retrospectively analyzed， and the accuracy， sensitivity and specificity of MRI in the diagnosis of fibroid and solenoma were analyzed. Results In the 58 cases， fibroid was in 32 cases and solenoma was in 26 cases， and the accuracy， sensitivity and specificity of MRI in the diagnosis of fibroid and solenoma were respectively 91.37%， 75.00% and 96.55%， and the MRI of fibroid was shown low or slightly low intensity in T1WI and high intensity in T2WI， the contour of uterus was unclear and the volume enlarged obviously with pseudo-capsule in the boundary， and the MRI of solenoma was shown the mottled and complex high intensity in T1WI and T2WI， the contour of uterus was smooth， and the volume enlarged obviously and there was no obvious boundary between lesions and uterus， or the boundary was irregular and unclear. Conclusion MRI examination can be used as the direct basis of fibroid and solenoma， and the specificity of MRI imaging performance characteristics is obvious with high accuracy and sensitivity in diagnosis， and the operation is easy with higher clinical reference value， which is worth promotion and application in clinic. [Key words] Fibroid； Solenoma； MRI； Differential diagnosis 子宫肌瘤和子宫腺肌瘤是临床妇产科较为常见的疾病，发生于生育期妇女，均由子宫壁病变因素导致，患者的临床症状表现较为相似[1]，单凭患者的临床症状不能进行确诊。 B超由于分辨率不高在诊断中误诊率较高，延误患者治疗的最佳时机[2]。该文为探究MRI诊断在子宫肌