子宫肌瘤的低场MRI影像特点及临床应用探讨.docVIP

精品论文 参考文献 子宫肌瘤的低场MRI影像特点及临床应用探讨 朱红1，2 　　（1.江苏省中西医结合医院；2.南京中医药大学附属中西医结合医院 江苏 南京 210028） 　　【摘 要】目的：对子宫肌瘤的低场MRI影像特点及临床应用进行探讨。方法：以我科2012年3月-2014年3月接收的12例子宫肌瘤患者为对象，通过低场1.5T磁型磁共振扫描仪器对所有患者进行扫描检查，对其患者子宫肌瘤的低场MRI影像特点进行分析。结果：多发肌瘤患者5例，单发肌瘤患者7例；通过MRI平扫共检出20个病灶，在T1WI、T2WI上所有病灶分别表现为等或低信号和低或混杂信号；在影像中除2个较小病灶边界不清晰外，其他18个病灶均呈现出清晰的多边界；肌瘤无统一大小，在形态上以圆形（16个）或椭圆（2个）形居多，其与2个为分叶状；高信号或等信号带，可见于T2WI上瘤体周围；本组子宫轮廓发生改变者11例，子宫内带扭曲变形者2例。结论：通过低场MRI扫描检查，能够使子宫肌瘤的形态、大小、位置等准确、清晰地显示出来，对子宫肌瘤的诊断与定性具有重要应用价值。 　　【关键词】低场MRI；子宫肌瘤；影像特点；临床应用 　　【中图分类号】R737.33 【文献标识码】B 【文章编号】1003-5028（2015）8-0504-01 　　【Abstract】Objective: To investigate the characteristics and clinical application of low field MRI imaging of uterine leiomyoma. Methods: 12 cases of patients with uterine fibroids received by our department in March March -2014 in 2012 as the object, through the low field 1.5T magnetic resonance imaging instrument for all patients to scan, the low field MRI imaging characteristics of patients with uterine fibroids. Within the band group, respectively. Results: multiple fibroids in 9 cases, single myoma in 3 cases by MRI plain scan were detected in 20 lesions in T1WI, T2WI, all lesions showed equal or low signal and low or mixed signal in the image except for two small lesion boundary is not clear, the other 18 lesions showed a clear boundary; Myoma no uniform size, in the form of circular (16) or elliptical (2): mostly, and 2 for the lobulated; high signal or the signal band, visible in T2WI tumor around the uterine contour change in 11 cases, uterine twist deformation in 2 cases. Conclusion: by the low field MRI scan, the shape, size, position, and so on, which can be used to make the uterine fibroids, are clearly displayed. 　　【Keywords】low field MRI; uterine leiomyoma; imaging characteristics; clinical application 　　在妇科各种病症中，子宫肌瘤属于其中的常见病和多发病，在女性生殖器官良性肿瘤中占比52%左右，以30-50岁女性为其高发人群。近年来，子宫肌瘤的发病率呈不断上升趋势，对女性身心健康产生了严重威胁。子宫肌瘤在临床中症状一般并不显著，部分患者会发生阴道出血、腹部压迫等症状。腹部包块、疼痛、子宫出血，是患者在临床中的主要表现，关于子宫肌瘤的诊断，临床中通常会对患者进行腹部检查和盆腔检查。[1]