子宫腺肌症常见和不常见的MRI 课件.ppt

子宫腺肌症常见和不常见的MRI表现; Adenomyosis is a common nonneoplastic gynecologic disease characterized by the presence of ectopic endometrium within the myometrium . Adenomyosis typically affects multiparous, premenopausal women over 30 years of age and may cause dysmenorrhea, menorrhagia, and abnormal genital bleeding . 子宫腺肌症是一种常见的非肿瘤性妇科疾病，是发生在子宫肌层的子宫内膜异位症。 其主要发生于超过30岁，绝经前的经产妇并且可能引起痛经，月经过多和不正常的阴道出血的症状。 Magnetic resonance (MR) imaging is a noninvasive modality with high sensitivity and specificity for diagnosis of adenomyosis . In cases of an enlarged uterus revealed with ultrasonography, MR imaging allows differentiation of adenomyosis from leiomyoma or other pathologic conditions owing to its excellent tissue contrast resolution . 磁共振（MR）成像是一种非侵入性的检查方式，其在诊断子宫腺肌症上具有高的灵敏度和特异度。当超声检查中发现子宫增大时，磁共振由于其出色的组织对比分辨率可以把子宫腺肌症与子宫肌瘤或其他疾病鉴别出来。 ;On T2-weighted images, typical adenomyosis appears as an ill-demarcated low-signal-intensity lesion with uterine enlargement. However, various physiologic or pathologic states may affect the MR imaging appearance of adenomyosis and may result in a tumorlike appearance 在T2WI上，子宫腺肌症的典型表现为一个边界不清的低信号强度病变伴随着子宫增大。然而，多种生理和病理改变也许会影响子宫腺肌症的MRI表现并且会导致其出现肿瘤样的表现 Specific topics discussed are MR imaging manifestations of typical adenomyosis, atypical MR imaging manifestations of adenomyosis, pitfalls in diagnosis of adenomyosis, 讨论的具体话题包括子宫腺肌症的典型MRI表现，子宫腺肌症的不典型MRI表现，子宫腺肌症的诊断误区 ;MR Imaging Manifestations of Typical Adenomyosis ; Typical Adenomyosis;A cut section of a diffusely adenomyotic uterus shows thickened myometrium due to the ill-defined adenomyosis; the thickened myometrium is composed of haphazardly distributed hypertrophied muscular trabeculae surrounding ectopic endometrial tissue (Fig 1) . Brownish old hemorrhagic foci corresponding to hemolysed blood and hemosiderin pigment deposits may be contained within the area of adenomyosis 弥漫型腺肌型子宫的横断面显示由于界限不清的子宫腺肌病导致肌层增厚。肥厚的肌层是由随意分布的肥大性肌小梁及周围的异位子宫内膜组织所构成（图1）。 褐色的旧出血灶也许对应着子宫腺肌症区域内的出血和含铁血黄素沉积 ;