卵巢区病变的MRI诊断及鉴别诊断.pdfVIP

　　《中国医学创新》第 12 卷 第 13 期（总第 331 期）2015 年 5 月 临床研究 Linchuangyanjiu 卵巢区病变的MRI诊断及鉴别诊断 王啸① 【摘要】　目的： 方法： 　　 探讨 MRI 对女性卵巢区病变的诊断及鉴别诊断价值。 回顾性的分析了 68 例经手术 结果： 病理证实的卵巢区病变的 MRI 表现。 60 例患者，68 个病灶，其中卵巢囊腺瘤 21 个，子宫内膜异位 12 个，畸胎瘤 11 个，卵巢癌 7 个，卵巢囊肿或卵巢冠囊肿 5 个，卵泡膜细胞瘤 2 个，输卵管积液 3 个，子宫浆 膜下肌瘤 4 个，其他 3 个。卵巢区病变表现为囊性、囊实性或实性肿块，其中良性病变 58 个。MRI 误诊 5 个， 误诊率为 7.4%。结论：卵巢区病变的 MRI 表现具有一定特征性，MRI 对于女性卵巢区病变的诊断及鉴别诊断 具有较高价值。 【关键词】 　　 　磁共振；　卵巢病变；　诊断及鉴别诊断 　　MRI Diagnosis and Differential Diagnosis of Ovarian Lesion/WANG Xiao.//Medical Innovation of China， 2015，12（13）：080-084 　　【Abstract】　Objective： To explore the value of MRI in diagnosis and differential diagnosis of female ovarian lesion. Method： Reviewed the characteristics of MRI in 68 ovarian lesions proved by pathology. Result： 60 patients had 68 lesions. Among these， 21 cases were ovarian cystadenoma， 12 cases were endometriosis， 11 cases were ovarian teratoma， 7 cases were ovarian cancer， 5 cases were ovarian cyst or parovarian cyst， 2 cases were ovarian thecoma， 3 cases were sactosalpinx， 4 cases were subserous uterine myoma， 3 cases were other disense. Ovarian lesion mainly performed cystic or cystic-solid or solid masses. Among these， benign lesions were 58. Misdiagnosis of MRI was 5， the rate was 7.4%. Conclusion： MRI image of ovarian lesions has certain characteristics， MRI has high value for diagnosis and differential diagnosis of ovarian lesions. 　　【Key words】　MRI；　Ovarian lesions；　Diagnosis and differential diagnosis ’ 　　First-author s address： The Second Hospital of Chaoyang， Chaoyang 122000， China 　　doi：10.3969/j.issn.1674-4985.2015.13.027 　　卵巢区病变的病理来源广泛，其中仅起源于卵巢 500/10 ms，T2WI，TR/TE，3500/105 ms. 轴 位 层 厚 的病变即种类繁多，还需与子宫、输卵管等起源的病 6 mm，矢状位层厚 5 mm。全部行增强扫描，造影剂 变相鉴别。MRI 软组织分辨率高，有多方位、多