坐骨结节囊肿的磁共振诊断-海南医学.PDF

海南医学2014年12月第25卷第23期 Hainan Med J, Dec. 2014, Vol. 25, No. 23 doi:10.3969/j.issn.1003-6350.2014.23.1358 ·论 著· 坐骨结节囊肿的磁共振诊断 韦 骏 (柳州市中医院放射科，广西 柳州 543001) 【摘要】 目的 探讨坐骨结节囊肿的磁共振影像特征。方法 回顾性分析15 例经手术病理证实的坐 骨结节囊肿的磁共振表现，总结其影像特征。结果 本组病例共18个病灶，为单发囊性肿块，囊壁厚，内壁 不光滑，13个病灶囊内见线状分隔，5 个病灶囊内无分隔；6 个病灶囊液T WI 上呈低信号，2 个病灶呈等信号， 1 10个病灶呈稍高信号，所有病灶囊液在T WI 上呈明显高信号，增强扫描囊壁、间隔轻度或中等度强化，囊液 2 无强化。结论 坐骨结节囊肿磁共振表现具有特征性，磁共振诊断坐骨结节囊肿具有很高的价值。 【关键词】 坐骨结节囊肿；磁共振；诊断 【中图分类号】 R445.2 【文献标识码】A 【文章编号】 1003—6350（2014 ）23—3476—03 IschialtuberositycystdiagnosedbyMagneticResonanceImaging. WEIJun.DepartmentofRadiology,theLiuzhou HospitalofTraditionalChineseMedicine,Liuzhou545001,Guangxi,CHINA 【Abstract】 Objective To investigate the Magnetic Resonance Imaging (MRI) features of ischial tuberosity cysts. Methods The MRI performances of 15 patients with ischial tuberosity cysts confirmed by pathologically were retrospective analyzed, and the MRI features were summarized. Results There were a total of 18 lesions in this group of patients, which were all solitary cystic masses, with thick cystic walls and smooth inner walls. 13 lesions had separate line in intracapsular, and 5 lesions had no separate line. Cystic fluid of 6 lesions showed low signal on T WI, 1 2 showed equal signals, and 10 showed slightly higher signal. All of the cystic fluid showed a high signal on T WI.